HX00080390 


Columbia  ^anibersfitp 
intfjeCttpofiBteto^orfe 

College  of  ^fjpsicians  anb  burgeons 


"^«fc*la.ig? 


J^eferencc  ?Litirarj> 


Digitized  by  tine  Internet  Arciiive 

in  2010  witii  funding  from 

Open  Knowledge  Commons 


http://www.archive.org/details/surgicaltreatmenOOwarb 


COMPLETE  INDEX 

TO 

VOLUMES  I,  II,  AND  III 

OF 

WARBASSE'S 
SURGICAL  TREATMENT 


PHILADELPHIA  AND  LONDON 

W.   B.  SAUNDERS  COMPANY 

1920 


Copyright,   1919,   B3'  W.  B.   Saunders  Company 


Reprinted   June.    1919 


Reprinted  September.  1919 


Reprinted  April,  1920 

VY13 


COMPLETE  INDEX  OF  SUBJECTS  TO 
VOLUMES  I,  II,  III 


Abadie 

Abadie's  operation  in  glaucoma,  ii.  i6i 
Abba's     method     of     dilating     esophageal 

stricture,  ii.  43S 
Abbott's  treatment  of  scoliosis,  ii.  354 
Abdomen,  ii.  49S 
closure  of,  ii.  516 
concussion  of,  ii.  535 
contusions,  ii.  535 
fetus  growing  in,  in  ectopic  pregnane^',  iii. 

436 
landmarks,  ii.  503 
opening  of,  ii.  504 
incisions  for,  ii.  504 
combined,  ii.  510 
liap,  ii.  510 
lateral  muscle-splitting,   ii.  507 

vertical,  ii.  507 
median,  ii.  507 

intramuscular,  ii.  506 
postmuscular,  ii.  504 
transverse,  ii.  507 
postmuscular,  ii.  510 
operations  on,  ii.  49S 

expiratory  moan  in,  iii.  61 
prevention  of  shock  in,  i.  215 
regions  of,  ii.  499 
relaxed,  ii.  540 

retention     of    uterus    in,    in     Cesarean 
section,  iii.  408 
Abdominal  aorta,  aneurism  of,  i.  391 

compression  of,  in  hemorrhage,  i.  360 
ligation  of,  i.  426 
belt  for  hernia,  iii,  17 
binders,  i.  50 

for  movable  kidney,  iii.  154 
blood  for  transfusion,  iii,  818 
carcinoma,  inoperable,  ii.  706 
exercises  for  dysmenorrhea,  iii.  396 
h}-sterectomy,  iii.  415 

combined  with  vaginal,  iii,  422 
for  cancer,  iii.  421 
partial,  iii.  41 S 
hysterotomy,  iii,  404 

obstetric,  iii.  404 
incision,  transverse,  ii,  507-512 
muscles,  rupture  of,  ii.  535 
operations,  ii.  498 

adhesions  in,  blunt  dissection  of,  ii.  522 
extensive,  ii.  523 
interintestinal,  ii.  522 
omental,  ii.  522 
to  anterior  abdominal  wall,  ii.  522 


Abdominal 

Abdominal  operations,  adhesions  in,  treat- 
ment, ii.  522 
binder  for  dressings,  ii.  520 
bowel  movements  after,  ii.  531 
closure  of  peritoneum  in,  ii,  516 

of  wound  in,  ii.  516 
complications  after,  ii.  531,  534 
control  of  bleeding  in,  ii.  515 
drainage  in,  ii.  524 

aspiration  in,  ii.  526 

by  counter  opening,  ii.  528 

dangers,  ii.  527 

depth  necessary  for,  ii.  528 

gauze  for,  ii.  525 
nonadhering,  ii,  529 

indications  for,  ii,  525 

methods,  ii,  526 

objections  to,  ii,  525 

oiled  gauze,  ii.  529 

rectal,  ii.  52S 

withdrawal  of,  ii.  527. 
dressing  wound  in,  ii.  519 
elevated-head  position  after,  ii.  529 
emergenc}'  feeding  after,  ii.  535 
feeding  after,  ii.  534 
figure-of-eight  suture  in,  ii.  519 
hemorrhage  in,  ii.  523 
increasing    abdominal    pressure    after, 

ii.  S3 1 
infection  of  wound  in,  ii.  537 
instruments  for,  ii.  504 
meteorisra  after,  ii.  532 
methods  of  dealing  with,  ii,  520 
morphin  after,  ii.  531 
nausea  after,  ii.  531 
ox}-gen  after,  ii.  531 
pain  after,  ii.  532 
peritoneum  in,  ii.  49S 
pneumonia  after,  ii.  534 
position  of  patient,  ii.  499 
post-operative  treatment,  ii.  529 
preparation  of  patient,  ii,  499 
preventing     lea\'ing     instruments     in 

abdomen  in,  ii.  516 
prevention  of  adhesions  in,  ii,  521 
proctoclysis  after,  ii,  533 
rectal  tube  after,  ii.  531 
retention  of  urine  after,  ii.  533 
retraction  of  wound,  ii.  515 
shock  after,  ii.  532 
sponging  in,  ii.  515 
thirst  after,  ii,  533 


Abdominal 


Abscess 


Abdominal  operations,  time  for  getting  up 
after,  ii.  534 
toilet  of  peritoneum  in,  ii.  515 
treatment  after,  ii.  529 
vomiting  after,  ii.  531 
route,  exposure  of  kidney  by,  iii.   163 
section,  ii.  504 

ilio-inguinal,  ii.  510 

in  non-acute  salpingitis,  iii.  427 

local  anesthesia  in,  i.   149 

low  median,  by  superficial  transverse 

incision,  ii.  513 
median,  ii.  510 
oblique  postmuscular,  ii.   511 
subcostal  oblique,  ii.   513 
vertical  postmuscular,  ii.   512 
sheets,  i.   48 
sponges,  i.   44 
wall,  ii.   535 

actinomycosis  of,  ii.  538 
blood-supply,  ii.   501 
cancer  of,  ii.   538 
echinococcus  cysts  of,  ii.  538 
excessively  fat,  ii.  538 
fibroma  moUuscum  of,  ii.  538 
fibrosarcoma  of,  ii.  538 
infections  of,  ii.  536 
landmarks,  ii.  503 
lipoma  of,  ii.  538 
nerve  supply,  ii.  501 
nevus  of,  ii.  538 

operations  on,  local  anesthesia  in,  i.  148 
pendulous,  ii.  540 
relaxed,  ii.  540 
sarcoma  of,  ii.  538 
stitch-hole  abscesses  in,  ii.  537 
structures  of,  ii.  500 
tumors  of,  ii.  538 
wounds  of,  ii.  535 
Abdominosacral    proctectomy     for     rectal 

cancer,  iii.  81-84 
Abducens  nerve,  injuries  of,  ii.  63 
Abnormalities  of  cervix,  congenital,  iii.  375 
Abortion,  septic,  iii.  371 

tubal,  iii,  435 
Abscess,  i.  251 
alveolar,  ii.  277 
antiferment  treatment,  i.  234 
Bier's  hyperemia  for,  i.  231 
cerebellar,  usual  site,  ii.  50 
chronic,  i.  253 
excision  of,  i.  254 
peritoneal,  ii.  554 
circumscribed,  appendicitis  with,  iii.  98 

rupture,  iii.  99 
drainage  in,  i.   252 
dressings  for,  i.  252 
ether  for,  i.  235 
extradural,  ii.  319 
extramammary,  ii.  474 
hot  fomentations  in,  i,  251 
in  appendicitis  in  unusual  position,  iii. 

100 
in  Pott's  disease,  ii.  335 
femoral,  ii.  337 
from  mixed  infection,  ii.  337 
inguinal,  ii.  337 


Abscess  in  Pott's  disease,  lumbar,  ii.  337 
of  lower  spinal  region,  ii.  336 
of  middle  cervical  region,  ii,  336 
of  upper  dorsal  region,  ii.  336 
psoas,  ii.  337 
retropharyngeal,  ii.  335 
in  tuberculosis  of  hip,  i,  672 
incision  in,  i.  251 
intracranial,  of  otic  origin,  ii,  319 
ischiorectal,  iii.  62 
isolated  chronic,  filling  bone  cavities  ia 

i.  706 
local  antiseptic  treatment,  i.  234 
localized  in  peritonitis,  ii,  553 
of  anterior  chamber  of  eye,  ii,  128 
of  axilla,  iii.  453 
of  brain,  ii.  73 

indications  for  operation,  ii.   73 
technic  of  operation,  ii.  74 
of  broad  ligaments,  iii.  426 
of  chest  wall,  ii.  398 
of  esophagus,  ii.  432 
of  eyelids,  ii.  119 

of  finger-tip,  subcutaneous,  iii.  444 
of  kidney,  iii.  148 
of  liver,  iii.   109 

drainage  by  abdominal  route,  iii.  no 

by  thoracic  route,  iii.  no 
Hanson's     method    of    draining,    iii. 

in 
operation  in,  iii,  no 

exploratory,  iii,  no 
prophylaxis,  iii.  109 
of  lung,  acute,  ii.  414 
chronic,  ii.  415 

rupturing  into  bronchus,  ii.  415 
of  mediastinum,  ii.  444 
of  neck,  ii.  361 
of  orbit,  ii.  137 
of  palate,  ii.  255 
of  pancreas,  ii.  781 
of  parotid  gland,  ii.  379 
of  prostate,  iii.  229 
of  scalp,  ii.  24 
of  scrotum,  iii.  302 
of  spleen,  ii.  784 
of  spine,  non-tuberculous,  ii.  327 
of  tongue,  tuberculous,  ii.  290 
of  urethra,  iii.  272 
of  vaginal  wall  in  vaginitis,  iii.  355 
of   vulva,   iii,  327 
otic,  usual  site,  ii.  50 
pelvic,  iii.  459 
perigastric,  from  perforation  of  stomach, 

ii-  727  . 
perinephric,   iii.   146 
peritonsillar,  ii,  212 
presacral,  iii.  459 
retroperitoneal,  ii.  563 
retropharyngeal,  ii,  205 
secondary,  in  peritonitis,  ii,  553 
septicemia  from,  vaccines  in,  i,  257 
stitch-hole,  in  abdomen,  ii,  537 
subdiaphragmatic,  ii,  470 
subphrenic,  in  peritonitis,  ii,  553 
tuberculous,     i,  281.     See    also     Tuber- 
culous abscess. 


Absence 


Adrenalin 


Absence  of  lip,  plastic  operation  for,  iii.  655 

of  vagina,  iii.  357 
Absorbable  ligatures,  i.  33  _ 

mechanical  devices   for  intestinal   anas- 
tomosis, ii.  675 

sutures,  i.  33, 
Absorbent  cotton,  i.  41 
Acacia,  gum,  in  saline  infusion,  i.  348 
Acapnia,  i.  213 

in  anesthesia,  i.  123 
Acarus  scabiei,  i.  84S 
Accessories,  surgical,  i.  48 
Accessorius-facial  nerve  grafting  in   facial 

paralysis,  i.  885 
Accessory  sinuses  of  nose,  ii.  17Q 
foreign  bodies  in,  ii.  188 

thyroid  glands,  ii.  380 
Accidental  wounds,  i.  166 
of  scalp,  ii.  18 
treatment,  i.  186 
Accidents  in  cataract  extraction,  ii.  167 

industrial,  prevention  of,  iii.  722 
surgical  treatment,  iii.  723 
A.  C.  E.  anesthetic  mixture,  i.  iig 
Acetabulum,   dislocations   of   hip   through 

floor  of,  i.  645 
Acetal  anesthesia,  i.   118 
Acetic  acid,  as  antiseptic,  i.  67 
Acetone  treatment  for  cancer  of  uterus,  iii. 

424 
Acetone-pyxol  solution  for  hand   steriliza- 
tion, i.  174 
Acetotartrate  of  aluminium,  as  antiseptic,  i. 

68 
Achillobursitis,  iii.  494 
Achillodynia,  iii.  494 
Achondroplasia,  i.  471 
Ach's  method  of  resection  of  cardiac  end  of 

stomach,  ii.  758 
Acid,  acetic,  as  antiseptic,  i.  67 

benzoic,  as  antiseptic,  i.  67 

bichlorid  solution,  as  antiseptic,  i.  59 

boric,  as  antiseptic,  i.  67 

citric,  as  antiseptic,  i.  72 

hydrochloric,  as  antiseptic,  i.   72 

mercuric  nitrate,  as  caustic,  i.  74 

oxalic,  as  antiseptic,  i.  67 

picric,  as  antiseptic,  i.  67 
in  burns,  i.  821 

salicylic,  as  antiseptic,  i.  67 

sulphuric,  as  antiseptic,  i.  72 
Acidosis  in  surgical  shock,  i.   213 

prevention  of,  i.  176 

treatment  of,  by  alkalinized  transfusion, 
i.  177 
Acne,  i.  835 

indurata,  iii.  704 
x-Ta.ys  in,  iii.  704 

keloid  of,  .r-rays  in,  iii.  705 

rosacea,  i.  836 

vulgaris,  .r-rays  in,  iii.   704 
Acoustic    vertigo,    operation    on    seventh 

nerve  in,  ii.  112 
Acquired  stenosis  of  larynx,  ii.   21 S 
of  trachea,  ii.  218 

stricture  of  urethra,  iii.  2S6 
Acriflavin  as  antiseptic,  i.  65 


Acriflavin  for  infected  wounds,  iii.  810 
Acromegaly,  i.  321 
Acromion  process,  fractures  of,  i.  556 
Actinomycosis,  i.   272 

of  abdominal  wall,  ii.  538 
of  appendix,  iii.  104 
of  intestines,  ii.  575 
of  liver,  iii.  112 
of  muscle,  i.  792 
of  nasopharynx,  ii.  208 
of  tongue,  ii.  290 
Actol,  as  antiseptic,  i.  67 
Acupressure  in  hemorrhage,  i.  341 

from   disarticulation   at  hip-joint,   iii 
604 
Adamantine  epithelioma,  i.  709 
Adenitis,  tuberculous,  ii.  368 

non-surgical  treatment,  ii.  369 
operation  in,  ii.  370 
Adenofibroma  of  breast,  ii.  475 
Adenoids,  ii.  208 

climate  in  etiolog>',  ii.  208 
evil  results  from,  ii.  208 
fresh  air  in  prophylaxis,  ii.  208 
operation  on,  ii.  211 
anesthesia  in,  ii.  209 
chair  for,  ii.  209 
instruments  for,  ii.  209 
position  of  patient,  ii.  209 
sitting  position  in,  ii.  209 
\vithout  anesthetic,  ii.  208 
soft,  ii.  208 

treatment  of,  during  first  year,  ii.  211 
Adenoma,  i.  325 

cystic,  of  breast,  ii.  475 
of  intestines,  polypoid,  ii.  582 
of  rectum,  iii.  74 
of  stomach,  ii.  703 
.■\denotome,  Schultz's,  ii.  209 
Adherent  hernia  of  large  intestine,  iii.  49 
omentum  in  hernia,  iii.  21 
penis,  iii-. ,255 
prepuce,  iii.  253 

of  clitoris,  iii.  328 
scars,  i.   225 
tonsils,  ii.  216 
Adhesions  in  peritonitis,  ii.  546 

methods  of  dealing  with,  in  abdominal 

operations,  ii.  520 
of  intestines,  chronic  obstruction  from,  ii. 

610 
perigastric,  ii.  702 

prevention  of,  i.  816;  ii.  515,  520,  521 
Adhesive  paste,  i-  55 

plaster  bandages,  iii.  793 

dressing  for  skin-grafting,  iii.  640 

for  wounds,  i.  55 
protective,  i.  54 
strips  for  club-foot,  iii.  472 
straps  for  wounds,  i.  187,  188 
support  for  tension  sutures,  i.  198 
tapes,  i.  55 
Aditus  ad  antrum,  ii.  316 
Adrenalin  chlorid  as  hemostatic,  i.  341 
for  treatment  of  shock,  i.  217 
in  nasal  operations,  ii.   183 
gauze,  i.  41 


Adrenalin 


Amputation 


Adrenalin   in   hemorrhage  of  stomach,   ii. 

.727 

in  local  anesthesia,  i.  139 
Adults,  hydrocele  in,  iii.  314 
Advancement  of  capsule  of  Tenon,  ii.   177 

of  rectus  muscle,  ii.  176 
Aerocele,  ii.  218 
Aeroplane  ambulance,  iii.  728 
After-cataract,  operations  for,  ii.  1 74 
Age  as  factor  in  surgical  treatment,  i.  2g 
Agglutination,  testing  for,  in  blood  trans- 
fusion, i.  355 
Ainhum,  i.  320,  843 
Air  cushions,  i.  23 

embolism,  i.  447;  ii.  430 

fresh,  in  hemorrhage,  i.  344 
in  surgical  treatment,  i.  24 
to  prevent  adenoids,  ii.  208 

injections  in  sciatica,  i.  879 

insuiBation  of,  in  hydrothorax,  ii.  402 
Akoin  as  local  anesthetic,  i.  137 
Alas  nasi,  collapse  of,  ii.  195 
Albee's  bone-grafts  in  fractures,  i.  507 

methods  of  holding  bone-grafts  in  place,  i. 

51?      .    .  . 

Albuminuria  in  varicose  ulcers,  i.  312 
Alcohol,  as  antiseptic,  i.   72 

injections  for  nerve  blocking,  i.  864 
in  coccygodynia,  ii.  358 
in  incurable  carcinoma  of  tongue,  i.  869 
in  neuralgia,  i.  864 
in  rectal  prolapse,  iii.  68 
in  spastic  muscles,  i.  795 
in  trifacial  neuralgia,  i.  866 

in  Gasserian  ganglion,  i.  869 
method  for  catgut,  i.  35 
solidified,  as  antiseptic,  i.  72 
Alcoholic  soap,  as  antiseptic,  i.  72 
Alcoholism,  as  factor  in  operation,  i.   180 

in  surgical  treatment,  i.   18 
Aleppo    boil,    i.  273 

Alexander's  operation  for   retroversion   of 
uterus,  iii.  390 
paste  for  burns,  iii.  807 
Alimentary  canal,  operations  on,  prepara- 
tion of  patient  for,  ii.  564 
Allen's  method  of  fascia  fixation  of  uterus 

for  retroversion,  iii.  394 
Allis'  ether  inhaler,  i.   106 

operation  for  habitual  shoulder  disloca- 
tions, i.  634 
AUport's  method  of  tattooing  cornea,  ii.   153 
Alopecia,  i.  846 
areata,  i.  847 
foUicularis,  847 
syphilitic,  i.  303 
Alpha  rays  of  radium,  iii.  709 
Alternating  strabismus,  ii.  175 
Alum  enema,  ii.  620 
Aluminium  acetotartrate  as  antiseptic,  i.  68 

bronze  sutures,  i.  38 
Alumnol,  as  antiseptic,  i.  72 
Alveolar  abscess,  ii.  277 

process  of  jaw,  fractures  of,  i.  543 
of    lower   jaw,    resection    of,    i.  725 
of  upper  jaw,  resection  of,  i.  723 
resection  of,  i.  723 


Alypin  as  local  anesthetic,  i.  136 
Ambulance,  aeroplane,  iii.  728 

transportation  of  injured  by,  iii.  727 
Ambulant  treatment  of  fractures,  i.  522 
Ambulatory  splints,  i.  522 

treatment  of  empyema,  ii.  407 
Amebic  colitis,  ii.  570 

ulceration  of  rectum,  iii.  61 
Amenorrhea,  iii.  397 
Ammonium  sulphate  method  for  catgut,  i. 

35 
Amputated  fingers,  replacement  of,  iii.  649 

restoration  of,  iii.  458 
members,  transplantation  of,  iii.  649 
Amputation,  iii.  49S 

after-treatment  of  weight-bearing  stump, 

in,  iii.  540 
anesthesia  for,  iii.  499 
aperiosteal,  iii.  510 
as  plastic  operation,  iii.  498 
at  hip,  interilio-abdominal,  iii.  605 

transpelvic,  iii.  605 
at  joints,  iii.  498,  501 
at  wrist,  iii.  554 
by  equal  flaps  of  skin  and  muscle,  iii.  517 

skin  flaps,  iii.  519 
by  single  flap,  iii.  srg 
by  unequal  flaps,  iii.  520 

rectangular  flaps,  iii.  520 
cinematic,  iii.  526 
cineplastic,  iii.  526 

extension  apparatus  for  stump,  iii.  533 

motor  club  in,  iii.  531 
loop  in,  iii.  530 
stump  in,  iii.  529 

of  thigh,  iii.  538 

through  forearm,  iii.  527 

through  upper  arm,  iii.  537 

transitory,  iii.  538 
circular,  iii.  504,  505 

advantages,  iii.  507 

cuff  method,  iii.  507 

suturing  skin  in,  iii.  513 

treatment  of  muscle  in,  iii.  513 

technic,  iii.  515 
clamping  of  vessels  during,  iii.  301 
combined  circular  and  flap,  iii.  515 
complications,  iii.  514 
conical  stump  in,  iii.  514 
contraction  of  tissues  of  stump  in,  iii.  Si4 
cuff  method,  iii.  515 
device  for  preserving  functions  of  muscle 

after,  iii.  533 
division  of  bone  in,  iii.  508 

of  tissues  in,  iii.  501 
drainage  in,  iii.  513 
elliptical  method,  iii.  521 
flap,  incising  skin  and  fascia  in,  iii.  504 

combined  with  circular  method,  iii.  515 

suturing  skin  in,  513 

treatment  of  muscle  in,  iii.  513 

with  single  flap,  iii.  519 
grafting  upon  stump  in,  iii.  s°2 
in  compound  fracture,  conditions  calling 

for,  i.  520 
in   lower   third   of  forearm   by   circular 

method,  iii.  556 


Amputation 

Amputation  in  presence  of  infection,  iii.  502 

in  upper  two-tliirds  of  forearm,  iii.  557 

indications  for,  iii.  498 

infundibuliform,  iii.  513 

instruments  for,  iii.  499 

intermediary,  iii.  499 

interscapulothoracic,  iii.  568 

irregular,  iii.  522 

length  of  stump  after,  iii.  501 

lines  of  incision  for,  iii.  503 

methods,  iii.  515 

muscle  flaps  in,  iii.  512 

musculoperiosteal  flaps  in,  iii.  508 

of  all  toes  with  part  of  all  metatarsal 
bones,  iii.  577 

of  arm,  iii.  559 

in  lower  third,  iii.  560 
in  middle  third,  iii.  561 
in  upper  third,  iii.  562 

of    fifth    metacarpal    bone    with    little 
finger,  iii.  55 1 

of  fingers,  iii.  542 

anesthesia  for,  iii.  544 
through  first  phalanx,  iii.  546 
through  last  phalan.x,  iii.  545 
through  second  phalanx,  iii.  545 
with  four  inner  metacarpal  bones,  iii. 

SSI 
with     fourth     and     fifth     metacarpal 

bones,  iii.  551 
with  three  inner  metacarpal  bones,  iii. 

SSI 
of  first  metacarpal  bone  with  thumb,  m. 

SSI 

of  foot,  iii.  575 
rules  for,   iii.  575 

of  forearm,  iii.  555 

of    four    inner    metacarpal    bones    with 
fingers,  iii.  551 

of   fourth    and    fifth    metacarpal    bones 
with  fingers,  iii.  551 

of  great  toe  with  all  of  metatarsal  bone, 
iii.  578  _ 

of  hand,  iii.  550 

of  leg,  iii.  585 

by  oblique  circular  incision,  iii.  588 
cineplastic  stumps  in,  iii.  587 
osteoplastic,    by   antero-internal    flap, 

iii.  590 
supramalleolar,  iii.  587 
through  lower  third,  iii.  587 
through  middle  third,  iii.  588 
through  upper  third,  iii.  589 
with  bilateral  flaps,  iii.  5S9 
with  equal  lateral  flaps,  iii.  589 
with  large  external  flap,  iii.   590 

of  limbs  in  newborn  in  utero,  iii.  697 

of  little  toe  with  all  of  metatarsal  bone, 
iii.   57S 

of  lower  extremities,  iii.  570 

position  of  patient  for,  iii.  570 

of  metacarpal  bone  with  finger,  iii.  551 

of  penis,  iii.  255 

of  shoulder,  iii.  568 

by  posterior  approach,  iii.  569 

of  thigh,  iii.  594 

subtrochanteric,  iii.  600 


Analgesia 

Amputation  of  thigh,  supracondyloid,  iii. 

S97  ..... 

through  condyles,  osteoplastic,  ni.  596 

through  lower  third,  iii.  598 

through  shaft  of  femur,  iii.  598 
of   three    inner    metacarpal   bones   with 

fingers,  iii.  551 
of  thumb,  iii.  548 

at  metatarsophalangeal  joint,  oval 
method,  iii.  549 
of  toes,  iii.  570 

with  all  of  metatarsal  bone,  iii.  578 

with  part  of  metatarsal  bone,  iii.  576 
of  upper  extremities,  iii.  542 
of  uterus  for  inversion,  iii.  385 
osteoplastic,  iii.  524 
oval  method,  iii.  517 
painful  stump  in,  iii.  514 
position  of  patient  for,  iii.  500 

of  stump  cicatrix  in,  iii.  515 

of  surgeon  for,  iii.  500 
preliminary  nerve  blocking  in,  iii.  512 
preparation  of  patient  for,  iii.  499 
prevention  of  hemorrhage  in,  iii.  500 

of  shock  in,  iii.  499 
primary,  iii.  499 

qualities  of  good  stump  in,  iii.  514 
racket  method,  iii.  516 
results,  iii.  514 
saline  infusion  in,  iii.  501 
saving  of  blood  in,  iii.  500 
sawing  bone  in,  iii.  509 
secondary,  iii.  499 
size  of  flaps  in,  iii.  502 
stump,  bandage  of,  iii.  776 

for  weight-bearing  in,  iii.  523 

ring  traction  for.iii.  533 
suturing  flaps  in,  iii.  512 

skin  in,  iii.  513 
technic  of  making  flaps  for,  iii.  503 
tenoplastic,  iii.  526 

operations  on  stump  in,  iii.  532 
through  femur,  iii.  526 
through  first  phalanx  of  toe,  iii.  573 
through  humerus,  iii.  526 
time  of  operation,  iii.  499 
treatment  of  blood-vessels  in,  iii.  510 

of  bone  in,  iii.  508 

of  nerves  in,  iii.  511 

of  redundant  tissues  in,  iii.  sr2 
trimming  of  flaps  in,  iii.  512 
turning  back  flap  in,  iii.  505 
use  of  sphygmomanometer  in,  iii.  501 
ventral  decubitus  for,  iii.  500 
weight-bearing  stump  in,  iii.  541 

after-treatment,  540 
with  flaps,  ii.  507.     SeeahoFlap  amputa- 
tion. 
with  reference  to  prosthetic  apparatus 

i"-  523. 
with  tendinous  bone  covering,  iii.  539 
without  flaps,  iii.  522 
indications  for,  iii.  523 
Amylene  anesthesia,  i.  n8 
Anal   region,   fistula   in,   iii.  62.     See   also 

Fjslida  in  ano. 
Analgesia,  i.  92 


Anaphylaxis 


Anesthesia 


Anaphylaxis  to  antitetanic  serum,  i.  266 
Anastomosis,  arteriovenous,  i.  377 

arterial,  Horsley's  clamp  for,  i.  379 

end-to-end,  of  arteries,  i.  374 

intestinal,    ii.  646.     See    also    Intestinal 
anastomosis. 

of  anterior  nerve  roots  in  spinal  canal,  ii. 
348 

of  vas  deferens  to  epididymis  of  opposite 
side  for  sterility,  iii.  312 

uretero-ureteral,  iii.  174 

urethrorectal,  for  incontinence  of  urine, 
iii.  331        ..  . 
Ancestral  peculiarities  as  factor  in  surgical 

treatment,  i.  18 
Andrews'  clamp  method  of  intestinal  anas- 
tomosis, ii.  676 

operation  for  hydrocele,  iii.  314 
Anemia,  artificial  local,  in  hemorrhage,  i.  367 

as  factor  in  operation,  i.  182 

from  hemorrhage,  i.  343 

intravenous  infusion  in,  i.  346 

local,  anesthesia  by,  i.   155 

pernicious,  ii.  785 
hemorrhage  in,  i.  360 

splenic,  ii.  785 
Anesthesia,  i.  92 

acapnia  in,  i.  123 

acetal,  i.  118 

administration  by  mouth,  iii.  807 

amylene,  i.  118 

antidolorin,  i.  117 

artificial  respiration  in,  i.  98 

auto-,  i.  102 

bromethyl,  i.  118 

bromoform,  i.  118 

by  laryngeal  puncture,  i.  125 

by  larynx,  i.  125 

by  local  anemia,  i.  155 

by  nerve  pressure,  i.  ISS 

by  pharynx,  i.  124 

by  suggestion,  i.  127 

chloroform,  i.  116.     See  also  Chloroform 
anesthesia. 

chloroform-ether  sequence,  i.  119 

chloroform-oxygen,  i.  120 

cocain,  in  eye  operations,  ii.  118 

complete  surgical,  i.  97 

dimethylacetal,  i.  118 

epidural  sacral  injections  for,  i.   162 

ether,  i.  104.     See  also  Elher  anesthesia. 

ether-oxygen,  i.  120 

ethyl  bromid,  i.  118 
chlorid,  i.  117 
chlorid-ether  sequence,  i.  119 

for  amputation,  iii.  499 

for  operations  on  pituitary  body,  ii.  83 

for  reducing  dislocations,  i.  610 

for  skin-grafting,  iii.  636 

for  tooth  extraction,  ii.  278 

from  cold,  i.  154 

gas-ether  sequence,  i.  118 

general,  i.  92 

after-effects,  treatment,  i.  104 
amount  of  anesthetic  required,  i.  100 
artificial  respiration  in,  i.  98 
care  of  patient,  i.   loi 


Anesthesia,  general,  clearing  of  throat  in,  i. 

97 

color  of  patient  in,  i.  99 

contraindications  to,  i.  102 

duties  of  anesthetist  in,  i.  95 

examination  before,  i.  92 

eye  in,  i.  99 

holding  tongue  in,  i.  97 

in  children,  i.  102 

in  status  lymphaticus,  i.  102 

intravenous,  i.  164 

massage  of  heart  in,  i.  99 

mental  state  before,  i.  94 

morphine  before,  i.  92 

mortality  in,  i.  99 

mouth  gags  for,  i.  95 

points  to  watch  in,  i.  97 

position  for,  i.  94 

primary  stage,  i.  97 

protection  of  lips  in,  i.  100 

pulse  in,  i.  98 

purge  before,  i.  94 

respiration  in,  i.  97 

restraint  in,  i.  loi 

selection  of  anesthetic  in,  loi 

state  of  excitement,  avoidance,  i.  96 

stimulants  in,  dangers  of,  i.  98 

stimulation  in,  i.  98 

technic,  i.  95 

tests  for,  i.  97 

time  required  for,  i.  97 

tongue  forceps  for,  i.  95 

traumatic  paralysis  in,  i.  100 
holocain,  in  eye  operations,  ii.  118 
hydrobromic  ether,  i.  118 
hypercapnia  in   i.   123 
hypnotic,  i.   126 
in  adenoid  operations,  ii.  209 
in  eye  operations,  ii.  138 
in  nasal  operations,  ii.  181 
in  operations  on  mouth,  ii.  245 
in  tonsillectomy,  ii.  213 
infiltration,  i.  127 
intermittent,  i.  loi 
intratracheal,  i.   125 
kelen,  i.  117 
laughing  gas,  i.  117 

local,  i.  127.     See  also  Local  anesthesia. 
methylal,  i.  118 
methylene  bichlorid,  i.  iiS 

ether,  i.  118 
mixed,  i.  118 
mi.xtures,  i.   119 
nitrous  oxid,  i.   117 

and  carbon  dioxid,  i.  123 
and  oxygen,  i.  120 
of  fingers  for  amputation,  iii.  344 
oil-ether    rectal,    i.  no.     See    also    Oil- 
ether  rectal  anesthesia. 
operations  without,  i.  165 
parasacral,  i.  162 
paravertebral,  i.  152 
pental,  i.  118 
rebreathing  with,  i.   122 
regional,  i.  127 
sequences,  i.  118 
somnoform,  i.  118 


Anesthesia 


Ankylosis 


Anesthesia,  spinal,  i.   155.     See  also  Spina! 
anesthesia. 

sterile  water,  i.  139 

surface  contact,  i.   127 

terminal,  i.   128 

vaginal  operations  without,  iii.  439 
Anesthesin  in  local  anesthesia,  i.  137 

in  tuberculous  laryngitis,  i.   137 
Anesthetics,  i.  92 

choice  of,  i.   103 

combined  with  oxygen,  i.   120 

injection    of    nerve    roots    with,    i.   152. 
See  also  Nerves,  blocking  of. 

local,  i.   134 

poisoning  from,  i.   138 

mixtures  of,  i.   iig 

operations  without,  i.   164 

selection  of,  in  general  anesthesia,  i.  loi 

warm  versus  cold,  i.   103 

with  carbon  dioxide,  i.   122 
Anesthetist,  duties  of,  in  general  anesthesia, 

'•  95    .  . 
Anesthetizing  cart,  i.  94 

room,  i.   167 
Anesthol,  i.  119 
Aneurism,  i.  380 

arteriovenous,  i.  393 

of  cavernous  sinus,  ii.  73 

axillary,  i.  399 

carotid,  i.  399 

chronic,  i.  381 

cirsoid,  i.  400 

compress  of  artery  in,  i.  381,  382 

dissecting,  i.  380 

electricity  in,  i.  381 

electrolysis  in,  i.  382 

femoral,  i.  398 

gradual  obliteration  of  arteries  in,  i.  384 

hygienic  treatment,  i.  381 

irritation  of  sac  in,  i.  382 

ligation  of  artery  in,  i.  382 

medical  treatment,  i.   381 

Neflt's  clamp,  i,  384 

obliterative  operation,  i.  385 

of  abdominal  aorta,  i.  397 

of  buttock,  i.  398 

of  external  iliac  artery,  i.  398 

of  innominate  artery,  i.  399 

of  internal  iliac  artery,  i.  398 

of  renal  artery,  iii.  151 

of  scalp,  ii.  25 

arteriovenous,  ii.  25 
cirsoid,  ii.   25 

of  thoracic  aorta,  i.  396 

pelvic,  i.  398 

plication  of  arteries  in,  i.  384 

popliteal,  i.  399 

reconstructive  operation  in,  i.  389 

restorative  operation  in,  i.  389 

spontaneous  cure,  i.  393 

subclavian,  i.  400 

traumatic,  i.  380 

wiring  in,  i.  382 
Aneurismectomy,  i.  391 

with  arteriorrhaphy,  i.  392 

with  transplantation  of  vein  and  artery,  i. 
392 


Aneurismorrhaphy,  i.  384 

Angeitis,  obliterating,  gangrene  from,  i.  316 

Angina,  Ludwig's,  ii.  362 

Angioma,  i.  325,  453 

cavernous,  i.  454 

electrolysis  in,  i.  453 

of  brain,  ii.  75 

of  breast,  ii.  475 

of  gums,  ii.  280 

of  lips,  ii.  254 

of  liver,  iii.  112 

of  rectum,  iii.   75 

of  scalp,  ii.  25 

of  vulva,  iii.  328 

radium  in,  iii.  714 

spongy,  i.  454 
Angiosarcoma  of  bones,  i.  710 
Angiotribe  i.  So 

in  hemorrhage,  i.  339,  340 
Angular  clamp  for  pyloroplasty,  ii.  747 
Angulation  of  intestines,  chronic  obstruc- 
tion from,  ii.  610 
Anidrosis,  i.  844 

cold  cream  for,  i.  849 
Animal  fat,  influence  of,  on  leukocytosis,  i.  20 

membranes,  i.   74 

parasites  of  skin,  i.  848 
Ankle,  iii.  468 

and  foot,  bandage  of,  spica,  iii.  774 
covering  heel,  iii.  775 
exposing  heel,  iii.  77s 

disarticulation  at,  iii.  583 

with  preservation  of  posterior  part  of 

OS  calcis,  iii.  585 
with  removal  of  malleoli,  iii.  584 

dislocations  of,  i.  649 
congenital,  i.  618 

excision  of,  i.   753.     See  also  Excision  of 
ankle. 

sprains  of,  i.  650 

tuberculosis  of,  i.  67S 
Ankyloblepharon,  ii.  iig,  120 
Ankylosing  arthritis,  plastic,  i.  662 
Ankylosis  after  fractures  of  lower  extremitj- 
of  humerus,  i.   571 

cartUage  grafts  in  joint  resections  for,  i. 

759 
excision  of  elbow  for,  1.  745 
interposition  of  foreign  membranes  in,  i. 

759 
of  periosteum  for,  1.  739 
of  soft  tissue  flaps  in,  i.  757 
of  elbow  arthroplasty  for,  i.  762 
of    hand    and    fingers,    disturbances  of 

motion  due  to,  iii.  453 
of  hip,  iii.  463 

arthroplasty  for,  i.  765 
osteotomy  in,  i.  713 
of  joints,  i.  686 

operative  treatment,  i.   686. 
of  knee,  arthroplasty  for,  i.  766 

with  deformity,  bone-grafts  in,  i.   7S7 
of  lower  jaw,  Esmarch's  operation  for,  i. 
726 
excision  of  condyle  for,  i.  726 
operations  for,  i.  726 
of  patella,  arthroplasty  for,  i.  767 


Ankylosis 


Appendicitis 


Ankylosis  of  shoulder,  arthroplasty  for,  i. 
761 
of  spine,  bone-grafts  to  produce,  i.  780 
of  temporomaxLUary  joint,  arthroplasty 

for,  i.  760 
of  wrist,  arthroplasty  for,  i.  764 
operations  for,  i.  757 
prevention  of,  by  oil  injections,  i.  756 
transplanted  soft  tissues  for,  i.  758 
Annandale's  operation  through  upper  jaw  to 

reach  nasopharynx,  i.  724 
Annular   ligament,    extension   of   infection 

above,  iii.  449 
Anoci-association,  i.  213,  214 
Anomalies  of  penis,  iii.  253 
Anosacral  cysts,  iii.  461 
Anoxemia,  i.  123 
Anteflexion  of  uterus,  iii.  385 
Anterior  sclerotomy,  i.  156 
Anteversion  of  uterus,  iii.  385 
Anthrax,  i.  271 

operative  treatment,  i.  271 
serum  treatment,  i.   272 
vaccine  treatment,  i.  272 
Antibody  antagonism  as  factor  in  surgical 

treatment,  i.  26 
Antidiphtheritic  serum  in  hemorrhage,  i.  342 
Antidolorin  anesthesia,  i.   117 
Antiferment  treatment  of  abscesses,  i.  234 
Antigonococcus  serum  in  gonorrhea,  iii.  283 
Antisepsis,  i.  27 

urinary,  iii.   141 
Antiseptics,  i.  57,  59 
for  eye  use,  ii.   iiS 
in  bronchiectasis,  ii.  419 
intravenous  injection,   in   septicemia   of 

unknown  origin,  i.  261 
local  urinary,  iii.  142 
treatment  of  infected  wounds  with,  i.  242 
Antistreptococcic  serum   as  hemostatic,  i. 

342 
Antitetanic  serum,  i.   265 
anaphylaxis  to,  i.  266 
dried,  i.  265 
in  frost-bite,  i.  265 
intravenous  injection,  i.  266 
method  of  injection,  i.  266 
saturation  dose,  i.  266 
spinal  injection,  i.  266 
Antitoxins,  i.  255 
in  anthrax,  i.  271 
in  septicemia,  i.  260 
Antivenene  in  snake  bite,  i.  275 
Antrum,  mastoid,  ii.   299 

maxillary.     See    Maxillary    antrum. 
of  Highmore.     See  Maxillary  antrum. 
Anuria,  postoperative,  i.  226 
Anus,  iii.  53 
anatomy,  iii.  53 
and  rectum,  prolapse  of,  iii.  67 
artificial,  ii.  687 
closure  of,  ii.   616 

operation  for  securing  muscular  control 
of,  ii.  694 
eczema  of,  i.  832 

excision  of  rectum  through,  for  cancer, 
iii.   76 


Anus,  fissure  of,  iii.  64 

chronic    intestinal    obstruction    from, 
ii.  610 
fistula   of,   iii.  62.     See   also   Fistula   in 

ano. 
imperforate,  iii.  66 
inguinal,  in  cancer  of  rectum,  iii.  76 
operations  on,  local  anesthesia  in,  i.  152 
preparation  of,  for  operation,  i.  180 
preparations  for  operation  on,  iii.  54 
pruritus  of,  i.  843 
ulcer  of,   chronic  intestinal  obstruction 

from,  ii.  610 
Aorta,  abdominal,  aneurism  of,  i.  397 

compression  of,  in  hemorrhage,  i.  360 

ligation  of,  i.  426 
thoracic,  aneurism  of,  i.  396 
Aperiosteal  amputation,  iii.  510 
Aphthous  ulcers  of  tongue,  ii.  290 
Apituitarism,  ii.  83 
Apoplexy,  spontaneous  cerebral,  ii.  58 
temporal  craniotomy  in,  ii.  58 
Apothesin  as  local  anesthetic,  i.  137 
Apparatus,  prosthetic,  iii.  607 
Appendectomy  by  lumbar  route,  iii.  loi 
in   quiescent   stage   of   appendicitis,   iii. 

lor 
local  anesthesia  for,  i.  150 
Appendicitis,  iii.  87 

abscess  in,  in  unusual  position,  iii.  100 
age  of  prevalence,  iii.  87 
cases  not  requiring  operation,  iii.  88 
colon  bacillus  vaccines  in,  iii.  88 
complicating   gall-bladder   infection,   iii. 

117 
dread  of,  operation  in,  iii.  103 
etiology,  iii.  87 
fulminating,  iii.  lor 
gangrenous,  iii.  100 
in  children,  iii.  102 
in  pregnancy,  iii.   102 
in  women,  iii.  102 
left-sided,  iii.  loi 
nonoperative  treatment,  iii.  88 
Ochsner's  treatment,  iii.  90 
operation  iu;  iii.  90 

after-treatment,  iii.  91 

by  lumbar  route,  iii.  loi 

drainage  in,  iii.  98 

in  first  stage,  iii.  90,  92 

in  fourth  stage,  iii.  91 

in  quiescent  stage,  iii.  loi 

in  second  stage,  iii.  90 

in  third  stage,  iii.  91 

interval,  iii.  lor 

mortality,  iii.  104 

results,  iii.  103 

technic,  iii.  92 

unhealed  wounds  after,  iii.   102 
perforative,  iii.   100 
postoperative  complications,  iii.   loi 

treatment,  iii.  ro3 
pre-operative  treatment,  iii.  89 
prophylaxis,  iii.  87 
rupture  of  abscess  in,  iii.  99 
simulated  by  contracture  of  psoas  par- 
vus muscle,  i.  796 


Appendicitis 


9 


Arteriorrhaphy 


Appendicitis,  subperitoneal,  iii.  loi 

treatment,  iii.  87 

tuberculous,  iii.  loi 

typhoid,  iii.   loi 

with  circumscribed  abscess,  iii.  98 

with  diffuse  suppurative  peritonitis,  iii. 
100 
Appendicostomy,  ii.  571 
Appendicular  colic,  iii.   104 
Appendi.v,  iii.  86,  805 

actinomycosis  of,  iii.   104 

anatomy,  ii.  624;  iii.  86 

and  cecum,  hernia  of,  iii.  51 

cancer  of,  iii.  104 

exposure  of,  incision  for,  ii.  510 

foreign  bodies  in,  iii.  104 

healthy,  removal  of,  iii.  103 

hernia  of,  iii.  104 

transplantation  of,  iii.  649 

tumors  of,  iii.  104 
Applications,  i.  57 
Applicators,  radium,  iii.   709,  713 
Approximation  sutures,  i.  196 
Apron  stretcher,  iii.  725 
Arachnoid  space,  tapping  of,  ii.  348 
Arch,  supra-orbital,  ii.  46 
Areas,  sensory  pain,  i.  128 
Argenol  as  antiseptic,  i.  67 
Argentamin  as  antiseptic,  i.  67 
Argentized  catgut,  i.  36 
Argentos  as  antiseptic,  i.  67 
Argonin  as  antiseptic,  i.  67 
Argyrol  as  antiseptic,  i.  67 
Aristol  as  antiseptic,  i.  70 
Arm,  amputation  of,  iii.  559 
in  lower  third,  iii.  560 
in  middle  third,  iii.  561 
in  upper  third,  iii.  562 

and  shoulder,  bandage  of,  immobilizing, 
iii-  755. 

brawny,  i.  463 

congenital  deformity  of,  iii.  457 

deep  infections  of,  iii.  444 

muscles  moving,  i.  893 

paralysis  of  biceps,  tendon  transplanta- 
tion in,  i.  812 

upper,  cineplastic  amputation    through, 
ii'-.  537 
fixation  bandage  of,  iii.   757 
Arsenic  in  inoperable  cancer,  i.  332 

paste  as  caustic,  i.  74 
Arsenobenzol  in  syphilis,  i.  298 
Arsphenamine  in  s.vphilis,  i.  298 
Arterial  infusion,  local  anesthesia  by,  i.  134 

occlusive  gangrene,  i.  317 

tension,  high,  as  factor  in  operation,  i.   1 80 
Arteries,  i.  371 

anterior  tibial,  ligation  of,  i.  443 

axillary,  ligation  of,  i.  415 
indications  for,  i.  418 

brachial,  ligation  of,  i.  418 

carotid,  wounds  of,  ii.  360 

catheterization  of,  i.  380 

common  carotid,  anatomy,  i.  406 
ligation  of,  i.  406 

at  inferior  carotid  triangle,  i.  407 
at  superior  carotid  triangle,  i.  408 


Arteries,  common  carotid,  ligation  of,    in- 
dications for,  i.  408 
slow,  i.  408 

iliac,  ligation  of,  i.  426 

extraperitoneal,  i.  426 
compression  of,  in  aneurism,  i.  381,  382 

in  hemorrhage,  i.  360 
dorsalis  pedis,  ligation  of,  i.  445 
end-to-end  anastomosis  of,  i.  374 
external  carotid,  ligation  of,  i.  409 

iliac,  ligation  of,  i.  429 
facial,  ligation  of,  i.  412 
femoral,  anatomy,  i.  434 

embolism  of,  i.  455 

ligation  of,  i.  43  r 

for  varicose  veins,  i.  453 
indications,  i.  436 
gluteal,  ligation  of,  i.  430 
gradual  obliteration  of,   in  aneurism,  i. 
..384 

iliac,  common,  embolism  of,  i.  455 
inferior  thyroid,  ligation  of,  i.  410 
inflammations  of,  i.  380 
innominate,  ligation  of,  i.  403 

indications  for,  i.  406 
intercostal,  wounds  of,  ii.  39S 
internal  carotid,  ligation  of,  i.  410 

iliac,  ligation  of,  i.  430 

mammary,  wounds  of,  ii.  398 

pudic,  ligation  of,  i.  431 
lateral  anastomosis  of,  Horsley's  clamp 
_  for,  i.  379 
ligation  of,  in  aneurism,  i.  382 

materials  for,  i.  402 

technic,  i.  401 
lingual,  ligation  of,  i.  4x1 
loss  of  substance  in,  i.  379 
middle  meningeal,  ii.  47 
occipital,  ligation  of,  i.  412 
occlusion  of,  i.  401 
of  head  and  neck,  ligation  of,  incisions 

for,  i.  404 
plication  of,  in  aneurism,  i.  384 
popliteal,  ligation  of,  i.  437 
posterior  auricular,  ligation  of,  i.  412 

tibial,  ligation  of,  i.  441 
in  middle  of  leg,  i.  442 
press  for  compression  in  hemorrhage,  i. 

366 
pulmonary,  embolism  of,  i.  457 
radial,  deep  palmar  branch,  ligation  of,  i. 
426 

ligation  of,  i.  421 
renal,  accessory,  iii.   139 
sciatic,  ligation  of,  i.  431 
subclavian,  ligation  of,  i.  413 
superior  thyroid,  ligation  of,  i.  411 
suturing  of,  i.  371.     See   also   SiilKre   of 

arteries. 
temporal,  ligation  of,  i.  412 
transplantation  of,  iii.  648 
traumatism  of,  i.  371 
ulnar,  ligation  of,  i.  424 
vertebral,  ligation  of,  i.  41c 
wounds  of,  i.  371 

ligation  in,  i.  338 
Arteriorrhaphy,  aneurismectomy  with,  i.  392 


Arteriovenous 


10 


Atrophia 


Arteriovenous  anastomosis,  i.  377 
aneurism,  i.  393 

of  scalp,  ii.  25 
Arteritis,  i.  380 

clironic,  i.  380 
Arthrectomy,  i.  710 

in  tuberculosis  of  joints,  i.  665 
of  knee-joint,  i.  710,  752 

in  tuberculosis,  i.  677 
Arthritis,  i.  657 
chronic,  i.  661 
deformans,  i.  66r;  iii.  463 

Streptococcus   viridans    theory   of,  ii. 
613 
gonorrheal,  i.  660 

formalin-glycerin  injections  in,  iii.  806 
in  influenza,  i.  660 
infective,  acute,  i.  658 
of  fingers,  iii.  450 
of  hip,  acute  suppurative,  iii.  462 

chronic,  iii.  462 

subacute,  iii.  462 
of  metacarpal  joints,  iii.  450 
of  sternoclavicular  joint,  ii.  398 
of  wrist,  iii.  450 
plastic  ankylosing,  i.  662 
pneumococcus,  i.  660 
rheumatic,  i.  660 
rheumatoid,  i.  661 
specific,  acute,  i.  660 
typhoid,  i.  660 
throdesis,  i.  738 

for  congenital  talipes  valgus,  iii.  482 
Arin  flat-foot,  i.  739 
in  hammer-toe,  i.  739 
in  infantile  paralysis,  i.  738 
in  osteo-arthritis,  i.  739 
in  paralytic  relaxation  of  hip,  i.   739 
in  stiffening  of  knee,  i.  739 
in  wrist-drop,  i.  739 
of   astragaloscaphoid   joint   in   flat-foot, 

iii.  488 
Arthropathy,   tabetic,    i.  681 
Arthroplasty,  i.  757 

for  ankylosis  of  elbow,  i.  762 

of  hip,  i.  765 

of  knee,  i.   766 

of  patella,  i.  767 
•    of  shoulder,  i.   761 

of  temporomaxillary  joint,  i.  760 

of  wrist,  i.  764 
Arthrotomy,  i.   755 

in  old  unreduced  dislocations  of  hip,  i. 

646 
incisions  for,   i.  756 
of  hip,  iii.  462 
of  knee,  i.  756 
Articular  rheumatism,  acute,  i.  660 
Artificial  anus,  ii.  687 

closure  of,  ii.  616 

operation  for  securing  muscular  con- 
trol of,  ii.  694 
feet,  simple,  iii.  613 
hyperemia,  i.  229-232.     See  also  Bier 'j 

hyperemia. 
impregnation,  iii.  438 
larynx,  Gliick's,  ii.  236 


Artificial  legs,  simple,  iii.  613 

pneumothorax  in  tuberculosis,  ii.  416 
respiration,  iii.  717,  730 
Howard's  method,  iii.  718 
in  general  anesthesia,  i.  98 
instruments  for,  iii.   719 
prone  method,  iii.  718 
Schafer's  metliod,  iii.  717 
Sylvester's  method,  iii.  719 
Asbestos  absorbent  wool  dressings,  i.  42 
Ascites,  ii.  557 

anastomosis    of    saphenous  J  vein    with 
peritoneum  in,  ii.  560 
of  vena  cava  with  portal  vein  in,  ii.  561 
with  superior  mesenteric  vein  in, 

ii-  563 

aspiration  in,  ii.  557 

drainage  into  bladder  in,  ii.  561 

Eck's  fistula  in,  ii.  561 

intra-abdominal   adhesions   in,    artificial 
formation  of,  ii.  558 

nutmeg  liver  in,  ii.  558 

of  cirrhosis  of  liver,  iii.  112 
paracentesis  in,  iii.  112 

subcutaneous  drainage  in,  ii.  559 

tapping  in,  ii.  SS7 
Asepsis,  i.  27,  166.     See  also  Slerilization. 
Aseptic  surgical  fevers,  i.  259 

wounds  of  joints,  i.  654 
Ashurst's   method   of   cineplastic   amputa- 
tion, iii.  530 
Aspermia,  obstructive,  iii.  311 

obstructive,  sterility  from,  iii.  311 
Asphyxia  from  coal  gas,  iii.  720 

from  illuminating  gas,  iii.  720 

from  smoke,  iii.  733 

resuscitation  in,  iii.  733 

traumatic,  hemorrhage  in,  i.  360 
Aspirating  jar,  i.  81 

syringe,  i.  81 
Aspiration,  aseptic,  of  tuberculous  abscess, 
i.  281 

in  ascites,  ii.  557 

in  drainage  in  abdominal  operations,  ii. 
526 

in  hydrothorax,  ii.  401 

of  bladder,  suprapubic,  iii.  213 

pneumonia  from  ether,  i.  105 
Aspirator,  i.   79 

Assistants  at  operation,  personal  care,  i.  172 
Asthma,  thymic,  ii.  394 
Astragaloscaphoid  joint,  arthrodesis  of,  in 

flat-foot,  iii.  48S 
Astragalus,  dislocations  of,  i.  649 

excision  of,  i    735,  736 

fractures  of,  i.  60S 
Astringents  in  hemorrhage,  i.  341 
Atlas  and  axis,  dislocations  between,  i.  622 
Atomizer,    ii.   181 
Atonic  dilatation  of  stomach,  chronic,  ii. 

713 
Atony  of  bladder,  ih.  207 
Atresia  of  esophagus,  ii.  433 

of  lacrimal  canals,  ii.  136 

of  puncta  lacrimalia,  ii.  136 

of  vagina,  iii.  357 
Atrophia  pilorum  propria,  i.  847 


Atrophic 


Bandage 


Atrophic  rhinitis,  ii.  187 
skin  diseases,  i.  843 
synovitis,  i.  658 
Atrophy,  muscular,  in  fractures,  i.  525 
of  bladder,  iii.   207 
of  bones  of  skull,  ii.  41 
of  hair,  i.  S47 
of  hand,  iii.  450 
of  nails,  i.  848 
of  optic  nerve,  ii.   135 
of  prostate,  iii.  248 
Atropin  as  mydriatic,  ii.  117 

in  dysmenorrhea,  iii.  395 
Auditory  canal,  external,  ii.  299,  304 

acute  circumscribed  inflammation  of, 

ii.  304 
animate  bodies  in,  ii.  305 
cellulitis  of,  ii.  304 
cholesteatoma  of,  ii.  306 
diffuse  inflammation  of,  ii.  304 
eczema  of,  ii.  304 
epithelial  plug  in,  ii.  306 
examination  of,  ii.  302 
exostoses  of,  ii.  304 
foreign  bodies  in,  ii.  305 
impacted  cerumen  in,  ii.  305 
inanimate  bodies  in,  ii.  305 
keratosis  obturans  of,  ii.  306 
mycosis  of,  ii.  304 
wounds  of,  ii.  304 
nerve,  diseases  and  injuries  of,  i.  890 

injuries  of,  ii.  63 
sensory  center  of  brain,  ii.  45 
Aural  specula,  ii.  302 
Auricle  ii.  303 
boils  of,  ii.  304 
cellulitis  of,  ii.  303 
congenital  defects,  ii.  303 
excessive  development  of,  ii.  303 
freeing  attached  lobe  of,  iii.  653 
frost-bite  of,  ii.  304 
furuncles  of,  ii.  304 
hematoma  of,  ii.  303 
laceration  of  lobe,  plastic  operation  for, 

iii-  653 
lobule  of,  cleft,  ii.  303 
malformations  of,  ii.  303 
perichondritis  of,  ii.  303 
plastic  operations  on,  iii.  649 
for  restoring  parts,  iii.  652 
size,  iii.  652 
skin  diseases  of,  ii.  304 
supernumerary,  ii.  303 
wounds  of,  ii.  303 
Auricular  artery,  posterior,  ligation  of,  i. 
412    _ 
point,  ii.  45 

right,  paracentesis  of,  ii.  425 
.Auriculotemporal  craniotomy  for  e.'cposure 
of  Gasserian  ganglion,  ii.   106 
nerve,  division  of,  in  neuralgia,  i.  S74 
.\uto-anesthetization,  i.  102 
.Autogenous  bone-grafts,  i.  772 
for  skull  defects,  i.  775 
'V-tfCcines,  i.  256 

in  pruritus  ani,  iii.  65,  818 
results  from,  i.  256 


Autoplastic   bone    flaps,    filling   defects   in 
bones  with,  i.  699 
strengthening  of  sutures  by,  i.  203 
bone-grafts,  i.   772 
nerve  bridging,  i.  855 
transplantation,  i.  856 
Autoserotherapy  in  hydrothorax,  ii.  402 
Autoserum   treatment   of  skin  diseases,   i. 

Autoto.xic  neuritis,  i.  862 
Avulsion  of  members,  i.  224 

of  scalp,  ii.  23 
complete,  ii.  23 

of  tubercle  of  tibia,  i.  603 

slow,  in  neuralgia,  i.  871 
.\xilla,  abscess  of,  iii.  453 

and  neck,  bandage  of,  iii.   753 

bandage  of,  cravat,  iii.  7S7 

cancer  of,  extensive  recurrent,  ii.  494 

lymphatics  of,  ii.  472 

tumors  of,  iii.  453 

wounds  of,  iii.  452 
.Axillary  aneurism,  i.  399 

artery,  anatomj',  i.  417 
ligation  of,  i.  415 

indications  for,  i.  41S 

embolism,  i.  455 

Babcock's  incision  for  transpelvic  amputa- 
tion at  hip-joint,  iii.  607 
Babies,  mastoid  operation  on,  ii.  31S 
Bacillus    aerogenes    capsulatus,     infection 
with,  i.  270 

Bulgarian,  as  urinarj'  antiseptic,  iii.  142 
in  treatment  of  cystitis,  iii.  192 

coli,  cystitis  from,  iii.  192 

diphtheriiE,  wound  infection  with,  i.  262 

emulsion  in  tuberculosis,  i.  258 
sensitized,  in  tuberculosis,  i.  258 

hodgkini,  i.  465 

lactic  acid,  for  leukorrhea,  iii.  370 

proteus,  cystitis  from,  iii.  192 

pyocyaneus  infection,  i.  261 
Back,  painful,  ii.  350 
Bacterins,  i.  255.     See  also  Vaccines. 
Bacteriolysis  as  factor,  i.  26 
Bacteriuria,  urinary  retention  from,  iii.  212 
Bags,  sand,  i.  82 
Balanitis,  iii.  251 

gangrenous,  iii.  251 

preputial,  iii.  251 
Baldness,  i.  846 
Baldwin's  method  of  forming  new  vagina 

by  intestinal  transplantation,  iii.  359 
Ballance's  operation  in  facial  paralvsis,  i. 

887 
Balsam-of-Peru,  as  antiseptic,  i.   71 

gauze,  i.  40 
Bandage,  iii.   735 

adhesive  plaster,  iii.  794 

apphcation,  iii.  735 

capiteUum,  antero-posterior,  iii.   746 
single,  iii.   748 
transverse,  iii.   747 

circular,  iii.  737 

cravat,  simple  occipitofrontal,  iii.   7S4 

crepe  paper,  iii.   794 


Bandage,  Esmarch,  i.  56 
for  inflammation,  i.  229 
figure-of-eight,  iii.  741 
fixing  to  prevent  displacement,  ni.  737 
flannel,  i.  55 
forehead-chin,  iii.  743 
-mouth,  iii.  744 
-neck,  iii.  744 
fronto-occipital,  iii.  746 

triangle,  iii.  784 
gauze,  i.  55 
handkerchief,  iii.  783 
iliofemoral  triangular,  iii.  792 
many-armed,  iii.  782 
Martin's  for  inflammation,  i.  229 
materials  for,  iii.  735 
methods_  of  rolling,  iii.  736 
muslin,  i.  55 
oblique,  iii.  739 
of  amputation  stump,  iii.  776 
of  axilla,  cravat,  iii.  787 
of  breast,  single  compression,  iii.  766 

triangular  suspensory,  iii.  791  ... 
of  breasts,  double  compression,  iii.  767 
of  buttock,  spica,  iii.  768 
of  cheek,  iii.  743 

of  chest,  anterior  figure-of-eight,  m.  766 
posterior  figure-of-eight,  iii.  766 
special,  iii.  765 
triangular,  iii.  79^... 
of  chin,  four-armed,  iii.  783 
of  ear,  iii.   750 

of  elbow,  mobilizing,  iii.  759 
of  eye,  cravat,  iii.  787 
crossed,  iii.  750 
oblique,  iii.  749 
split,  iii.  779 
of  face  and  scalp,  iii.  786 
cravat,  iii.  786 
crossed,  iii.   743 
of  fingers  and  hand,  glove,  iii.  761 
complete,  iii.  762 
spiral,  iii.  760 
of  foot  and  ankle,  spica,  iii.  774' 
covering  heel,  iii.  775 
exposing  heel,  iii.  775 
triangular,  iii.  792 
of  forearm,  cravat  sling,  iii.  787 

triangular  sUng,  iii.  79°... 
of  groin,  ascending  spica,  iii.  767 
descending  spica,  iii.  768 
spica,  thigh  bandage  with,  iii.  76S 
of  hand,  iii.  761 

triangular,  iii.  792 
of  head  and  neck,  iii.  742 
cravat,  crossed,  iii.  787 
four-armed,  iii.  785 
universal,  iii.  742 
with  median  piece,  iii.  742 
of^knee,  mobilizing,  iii.  7^9 

triangular,  iii.  792 
of  knees,  adducting  immobilizmg,  lu.  770 
of  leg,  iii.  772 

of  lower  extremities,  iii.  767 
of  neck  and  axilla,  iii.  753 
simple,  iii.  750 
thyroid,  iii.  750 


12  Beat 

■  Bandage  of  pelvis,  diaper,  iii.  782 

of  penis,  iii.  776 
j       of  scalp  and  chin,  iii.  786 
cravat,  iii.  784 
double  lateral,  iii.  744 
of  scrotum,  iii.  777 
suspensory,  iii.  781 
hammock,  iii.  781 
of  shoulder  and  arm,  immobilizing,  iii. 

V55 
descending  spica,  in.  754 
immobilizing,  iii.  755 
triangular,  iii.  791 
of  special  regions,  iii.  742 
of  thigh,  iii.  769 

with  spica  of  groin,  iii.  768 
of  thumb,  spica,  iii.  761 
of  toes,  iii.  775 
of  trunk,  iii.  765 
of  upper  arm,  fixation,  iii.  757 

extremities,  iii.  753,  760 
plaster-of-Paris,  57 
recurrent,  iii.  742 
removal,  iii.  736 
requirements,  iii.  73S 
roller,  improvised  from  square,  iii.  794 
rubber,  i.  56 

rules  for  application,  iii.  737 
simple  forms,  iii.  737 
spica,  iii.  741 

of  shoulder  ascending,  iii.  753 
spiral,  iii.  739 

reverse,  iii.  739 
square,  iii.  783 
starch,  i.  56 
T-,  i.  49;  iii.  780 

split,  iii.  781 
triangular,  i.  49;  iii.  783 
tricot,  i.  55 
tripolith,  i.  56 
universal  scarf,  iii.  793 
water-glass,  i.  56 
weaving,  iii.  742 
Bandaging,  iii.  735 

support  for  pelvis  in,  iii.  767 
Bands,  metallic,  in  fractures,  i.  506 
Banti's  disease,  ii.  785 
Barium,  iii.  709 
Barney's  urethrotomy,  simplified  external 

perineal,  iii.  296 
Barraquer's  method  of  cataract  extraction, 

ii.   174 
Bars,  prostatic,  iii.   244 
Bartholin's  glands,  iii.  324 

gonorrheal  inflammation  of,  111.  284 
Bartlett's  method  01  sterilizing  catgut,  i.  36 

of  nephropexy,  iii.  168 
Base  and  vault  of  skull,  fractures  of,  1.  537 
of  skull,  fractures  of,  i.  534  .      ... 

Bassini's  operation  for  inguinal  hernia,  111. 

32  ,      . 

Bath,  daily,  1.  24 

warm,  in  tetanus,  i.  269 
Bayer's  method  of  restoring  end  of  nose, 

iii.  679  .         ,     •  f 

Beal's    method    for    suction    drainage    ot 
bladder,  iii.  224 


Beck 


13 


Bladder 


Beck's  bismuth  paste  injections  in  sinuses, 
i.  306 

operation  for  hypospadias,  iii.  267 
Bedbugs,  bites  of,  i.  275 
Bed  cradle,  i.  23,  24 

frame  for  supporting  suspension  splints, 
i.  488 

hospital,  i.  22,  23 
Bed-lift,  i.  25 
Bed-pan,  i.  24 
Bed-sores,  i.  313 

prevention,  i.  24 

sliin  powder  for,  i.  313 
Beef  serum,  i.  59 
Beer  and  Elsberg's  method  of  laminectomy 

in  medullary  tumors  of  spinal  cord,  ii. 

Bees,  stings  of,  i.  276 

Bellocq's  canula  in  nasal  hemorrhage,  ii. 

i8s 
Bell's     palsy,     i.  881.     See     also     Facial 

paralysis. 
Belt,  abdominal,  for  hernia,  iii.  17 

constriction,  in  hemorrhage,  i.  363 
Benign  cysts,  i.  325 

tumors  of  breast,  ii.  475 

incisions  for  removal,  ii.  477 
of  kidney,  iii.  151 
of  liver,  iii.  112 
of  stomach,  ii.  703 
Benzoate  of  mercury  in   syphilis,  iii.  814 
Benzoic  acid,  as  antiseptic,  i.  67 
Benzoin  varnish  antiseptic,  i.  73 
Benzol  in  leukemia,  i.  466 
Berkowitz  and  Seff's  treatment  of  parony- 
chia, iii.  442 
Bernheim's  clamp  for  indirect  blood  trans- 
fusion, i.  353 
Beta-naphthol,  as  antiseptic,  i.   71 
Beta  rays  of  radium,  iii.  709 
Sevan's    incision    for    operations    on    bile 
tract,  iii.  120 
operation  for  hypospadias,  iii.  269 
for  undescended  testicle,  iii.  308 
Biceps  femoris,  tendon  of,  tenotomy  of,  i. 
81S 
of  arm,  paralysis  of,  tendon  transplanta- 
tion in,  i.  812 
Bichlorid  eczema,  i.  833 
gauze,  i.  40 

of  mercury,  as  antiseptic,  i.  59 
method  for  catgut,  35 
Bier's  hyperemia,  i.  229-232 
active,  i.  229 
for  iniiammation,  i.  229 
in  felon,  iii.  442 
in  malposition  of  joints,  i.  686 
in  neuralgia,  i.  S63 
in  tuberculosis,  i.  2S0 
of  joints,  i.  664 
of  knee-joint,  i.  675 
in  tuberculous  abscess,  i.  282 
in  wound  infection,  i.  28  , 
passive,  i.  229 
methodof  osteoplasticamputation,iii.  516 
Bifid  tongue,  ii.  286 
uvula,  ii.  255 


Bigelow's  cvacuatorfor  litholapaxy,  iii.   199 
lithotrite,   iii.  199 

method  of  introduction,  iii.  200 
method  of  reducing  hip  dislocations,  i. 
641,  643  _ 
Bilateral  torticollis,  ii.  375 
Bile  feeding  for  biliary  fistula,  iii.  117 
Bile-duct,    common.     See    Common    dud. 
Bile-tract  and  gastro-intestinal  tract,  per- 
foration between,  iii.  116 
diseases  of,  after-treatment,  iii.  137 
complications  after,  iii.  136 
recurrence  after  operation,  iii.  136 
infections  of,  iii.  114 
treatment,  iii.   115 
operations  on,  anesthesia  in,  iii.  119 
appliances  for,  iii.  118 
position  of  patient  for,  iii.  118 
preparation  of  patient  for,  iii.  118 
Biliary  calculi,  ii.  780;  iii.  116.     See  also 
Gall-stones. 
cirrhosis,  ii.  785 
colic,  acute,  iii.  115 
fistula,  iii.  117 

bile  feeding  for,  iii.  117 
saline  injections  through,  iii.  117 
Billroth's  anesthetic  mixture,  i.  119 
Binder  for  movable  kidney,  iii.  154 
Binders,  abdominal,  i.  50 
breast,  i.  49 

for  abdominal  operations,  ii.  520 
Binnie's  method  of  osteoplastic  amputation, 

iii.  526 
Bipp    paste,     i.  248.     See    also    Bismuth 

paste. 
Birth  palsy,  brachial,  i.  894 
Birth-mark,  radium  for,  iii.  714 
Biskra  button,  i.  273 

Bismuth    formic-iodid  as  antiseptic,  i.   72 
gauze,  i.  40 

o.xyiodid  as  antiseptic,  i.  71 
paste    combined    with    instillation    for 
infected  wounds,  iii.  812 
in  chronic  suppurative  otitis  media,  ii. 

310 
in  empyema,  ii.  412,  413 
in  fistula  in  ano,  iii.  64 
in  infected  wounds,  i.  248 
in  sinuses,  i.  306 
phosphate  as  antiseptic,  i.  72 
salicylate  as  antiseptic,  i.  72 
subcarbonate  as  antiseptic,  i.  72 
subgallate  as  antiseptic,  i.  71 
subiodid  as  antiseptic,  i.  71 
subnitrate  as  antiseptic,  i.  72 
Bites  of  insects,  i.  275 
on  mouth,  ii.   247 
snake,  i.  274,  275 
Blackheads,  i.  845 
treatment,  i.  849 
Bladder,  iii.  182 
anatomy,  iii.  182 
aspiration,  suprapubic,  iii.  213 
atony,  iii.  207 
atrophy,  iii.  207 
cancer,  iii.  196 
radium  in,  iii.  712 


Bladder 


14 


Bone-grafts 


Bladder,    canulization  of,   suprapubic,  iii. 

213 
contracture  at  meatus,  urinary  retention 

from,  iii.  212 
contusions  of,  iii.  rgo 
diverticula  of,  iii.  206 
drainage  into,  in  ascites,  ii.  561 
drainage  of,  by  suction,  iii.  222 

perineal,  iii.   222 

permanent,  iii.  221 

suprapubic,  iii.  221 

urethral,  iii.  222 
exstrophy  of,  iii.  203 

implantation  of  ureters  into  cecum  for, 
iii.  205 

Maydl's  operation  for,  iii.  204 
female,  iii.  324 
foreign  bodies  in,  iii.  203 
gall-stones  impacted  at  exit  of,  iii.  116 
hernia  of,  iii.  51 
hypertrophy  of,  iii.  206 
implantation  of  ureter  into,  iii.  176 
inflammation  of,  iii.  191.     See  also  Cys- 
titis. 
injuries  of,  iii.  190 
instruments,  iii.  183 

lubrication  of,  iii.  183 

sterilization  of,  iii.  183 
operations  on,  iii.  213 

control  of  hemorrhage  in,  iii.  197 
overdistention,    atonic,    retention    from, 

iii.  209 
papilloma  of,  iii.  196 
perineal  drainage,  iii.  220 
polyp  of,  fulguration  for,  iii.  703 
preparation  of,  for  operation,  i.  180 
reconstruction  of,  iii.  226 
rectal    drainage    of,     for    vesicovaginal 

iistula,  iii.  352 
resection  of,  iii.  224 
rupture  of,  iii.  190 

extraperitoneal,  iii.  191 

intraperitoneal,  iii.  191 
sphincter  of,  incontinence  of,  iii.  207,  330 
stone  in,  iii.     See  also  Stojie  in  bladder. 
total  removal  of,  iii.  225 
transvaginal  rectal  drainage  of,  for  incon- 
tinence, iii.  331 
trigonum  of,  iii.  182 
tuberculosis  of,  iii.  193 
tumors  of,  iii.  194 

inoperable,  iii.  197 

transperitoneal  operation  for,  iii.  197 
route  for  removal,  iii.  224 
ulceration  of,  chronic  infiltrating,  iii.  194 
urinary,  papilloma  of,  fulguration  for,  iii. 

700 
wounds  of,  iii.  190 
Blad's  method  of  drainage  in  ascites,  ii.  560 
Blankets,  i.  48 
Blastomycosis,  i.  838 

of  eyelids,  ii.   120 
Bleaching  powder,  i.  61 
Bleeding.     See  Hemorrhage 

ulcers,  i.  314 
Blepharitis,  ii.  119 
squamous,  ii.   119 


Blepharophimosis,  ii.  119,  120 

Blepharoplasty,  ii.  142 

for  resection  of  eyelids,  ii.  147 

Blepharospasm,  ii.  120 

Blepharotomy,  ii.  143 

Blindness  with  brain  tumors,  ii.  178 

Blocking,  nerve,  alcohol  injections  for,  i. 
864 

Blood  as  hemostatic,  i.  342 

clot,  iilling  bone  cavities  with,  i.  704 
defibrinated,  in  hemorrhage,  i.  343 
from  abdomen  for  transfusion,  iii.  SiS 
sequestration  of,  for  control  of  hemor- 
rhage, i.  369 
tests  of  donor's,  transfusion,  iii.  814 
transfusion,  348.     See  also  Transfusion, 
blood. 

Blood-cells,  preserved  red,  transfusion  with, 
iii.  Srs 

Blood-cysts,  mesenteric,  ii.  564 

Bloodless  disarticulation  at  shoulder-joint, 
iii.  563 

Blood-letting.     See  Venesection. 

Blood-nitrogen   retention  of  kidney  func- 
tion, iii.  144 

Blood-pressure,  effects  of  ether  on,  i.  105 

Blood-serum  as  hemostatic,  i.  342 

Blood-vessels,  i.  334 

closing  of,  absorbable  metal  clips  for,  i. 

339 
injuries  to,  in  dislocations,  i.  611 
laceration  of,  in  fractures,  i.  524 
transplantation,  iii.  647 
treatment  of,  in  amputation,  iii.  510 
wound  of,  cut-throat  with,  ii.  360 

Blowing  nose  in  nasal  infections,  ii.  186 

Blumberg's  operation  on  Fallopian  tubes  to 
induce  sterility,  iii.  429 

Boas'  extra-anal  method  of  treating  hemor- 
rhoids, iii.  74 

Bode's  position  for  drainage,  ii.  528 

Body,  ciliary.     See  Ciliary  body. 

Boeckel's  operation  through  upper  jaw  to 
reach  nasopharynx,  i.  723 

Bogojawlensky's  osteoplastic  flap  operation 
on  pituitary  body,  ii.  88 

Boiling  water,  sterilization  by,  i.  31 

Boils,  i.  253,  827 
Aleppo,  i.  273 
nasal,  i.  273 
of  auricle,  ii.  304 
Oriental,  i.   273 
vaccines  in,  i.  253,  829 

Boldt's  binder  for  abdominal  dressings  after 
operation,  ii.  520 

Bolster  sutures,  i.  197 

Bone  cylinders  in  fractures,  i.  507 
drill,  brace  for,  ii.  29 
ferrules  in  fractures,  i.  507 
flaps,  autoplastic,  filling  defects  in  bones 
with,  i.  699 
heteroplastic,  i.  700 

Bone-grafts,  i.  772 

Albee's,  in  fractures,  i.  507 
autogenous,  i.  772 

for  skull  defects,  i.  775 
autoplastic,  i.  772 


Bone-grafts 


15 


BoDninghaus 


Bone-grafts,  curved,  method  of  preparing, 
i.  780 
electric  motor  for  cutting,  i.  6gi 
for  club-foot,  iii.  477 
for  filling  bone-defects,  i.  772 
from  cadaver,  i.  772 
heteroplastic,  i.  772 
in    ankylosis    of   knee-joint    with   de- 
formity, i.  787 
in  bow-leg  deformity,  i.  787 
in  dislocations  of  hip,  i.  783 
in  fracture  of  clavicle,  i.  511 
of  condyles,  i.  515 
of  forearm,  i.  512 
of  humerus,  i.  511 
of  lower  jaw,  i.  518 
of  malleolus,  i.  516 
of  neck  of  femur,  i.  512 
of  olecranon,  i.  511 
of  OS  calcis,  i.  517 
of  patella,  i.  516 
in  habitual  dislocation  of  patella,  i.   787 
in  paralytic  scoliosis,  i.  782 
in  sacro-iliac  joint,  i.  783 
in  spina  bifida,  i.  783 
in  spondylolisthesis,  i.   783 
in  tuberculous  spondylitis,  i.  776.     See 

also  Bone-grafts  of  spine. 
inlay,  method  of  holding,  i.  774 
methods  of  cutting,  i.  773,  774 

of  fixation,  i.  772 
of    astragalus    for    restoring    head    of 

femur,  i.  7S5 
of  phalanges,  i.  786 
of  skull,  i.  775 
of  spine,  i.  776 

after-treatment,  i.  781 
choice  of  operation,  i.  7S1 
contraindications,  i.  781 
indications  for  use  of,  i.  780 
inlaid,  in  split  spinous  processes,  i. 

777 
lateral,  i.  776 
results  of,  i.  782 
to  produce  ankylosis,  i.  780 
preparation  of,  i.  772 
sliding,  i.  509 
technic,  i.  772 
tibial,  i.  772,  773 
transplanted,  i.  511 
instruments,  extemporized,  i.  89 
temporal,  infections  of,  intracranial  com- 
plications, ii.  318 
transplantation,  i.  772 
Bone-cutting  forceps,  linear,  Hudson's,  ii. 

29 
Bones,  angiosarcoma  of,  i.  710 
apparatus  for  moving,  in  fractures,  i.  497 
autoplastic    operations    with,    in    osteo- 
myelitis, i.  698 
caries  of,  i.  468 

chips  of,  for  filling  bone  cavities,  i.  704 
congenital  defects  of,  i.  471 
\  contusions  of,  i.  467 

cysts  of,  i.  709 
denuded,  i.  467 
diseases  of,  i.  467 


Bones,  diseases  of,  talipes  due  to,  iii.  484 
displaced,  in  fractures,  i.  524 
enchondroma  of,  i.  709 
excisions  of,  i.  717 
filling  cavities  in,  i.  7or 

absorbable  materials  for,  i.   705 

bone  chips  for,  i.  704,  705 

from  bone  tumors,  i.  706 

from  tuberculosis,  i.  706 

in  compound  fractures,  i.  706 

in  epiphyseal  caries  and  necrosis,  i. 

706 
in   isolated   chronic   abscess,   i.  706 
non-absorbable  materials  for,  i.  705 
salt  solution  for,  i.  705 
transference  of  bone  for,  i.  704 
with    autoplastic  bone  flaps,  i.  699 
with  blood  clots,  i.  704 
with  fat,  i.  704 
with  fat-graft,  iii.  648 
with  heteroplastic  bone  flaps,  i.  700 
with  organic  tissues,  i.   704 
with  spermaceti  wax,  i.  705 
long,  giant-cell  sarcoma  of,  i.  707,   709 
osteotomy  of,  i.  711 

technic,  i.  712 
resection     of,     osteotomy     combined 
with,  i.  716 
loss  of  substance,  operations  for,  i.  692 
medullary  fibroma  of,  i.  709 
metatarsal,  excision  of,  i.  737 
myxochondrosarcoma  of,  i.  709 
myxoma  of,  i.  709 
necrosis  of,  i.  468 

in  fractures,  i.  525 
of  ear,  ii.   299 

of  pelvis,  resection  of,  i.   732 
of  skull,  injuries  of,  in  newborn,  iii.  695 
operations  on,  i.  688 
for  lengthening,  i.  770 
for  loss  of  substance,  i.  699 
instruments  for,  i.  688-690 
perithelioma  of,  i.  710 
resections  of,  i.  717 
sarcoma  of,  mixed-cell,  i.  709 
small  round-cell,  i.  709 
spindle-cell,  i.  709 
suturing  of,  in  fractures,  i.  503 

tendon  to,  i.  804 
syphilis  of,  i.  470 
tarsal,  excision  of,  i.  734 
transference  of,  for  filling  bone  cavities, 

treatment  of,  in  amputation,  iii.  50S 
tuberculosis  of,  i.  469 
tuberculous  foci  in,  uncomplicated,  i.  470 
tumors  of,  i.  470,  706 

amputation  in,  indications  for,  i.  709 

conservative  operations  for,  i.  706 

excision  in,  i.  708 

filling  bone  cavities  from,  i.   706 

resection,  i.  706 
turbinated,  ii.  179 
wiring  of,  in  fractures,  i.  503 
Bone-saw,  Gigli's  wire,  ii.   29 
Bonninghaus'  method  of  obliterating  max- 
illary antrum,  ii.  197 


Borax 


16 


Breast 


Borax  as  antiseptic,  i«67 
Boric  acid  as  antiseptic,  i.  67 

gauze,  i.  41 
Boro-salicylic  gauze,  i.  41 

solution  as  antiseptic,  i.  68 
Bost  and  Neve's  method  of  resuscitation 

by  heart  massage,  iii,  821 
Bottini's    operation    for    hypertrophy    of 

prostate,  iii.  232 
Bougard's  paste  in  cancer,  i.  331 
Bougies,  esophageal,  ii.  434 

olive,  ii.  434 
Bevy's    mercury-salvarsan     treatment     of 

syphilis,  iii.  814 
Bow-legs,   iii.  466 
anterior,  iii.  468 
braces  for,  iii.  466 
deformity,  bone-grafts  in,  i.  787 
osteoclasis  for,  iii.  466 
osteotomy  for,  iii.  467 
Braces,  metlalic,  in  Pott's  disease,  ii.  333 
Brachial  artery,  compression  of,  in  hemor- 
rhage, f.  360 
ligation  of,  i.  418 
birth  palsy,  i,  894 
neuralgia,  i.  8g6 
paralysis  in  newborn,  iii.  696 
plexus,  blocking  of,  i.  154 

injection  of,  in  local  anesthesia,  i.  145 
injuries  and  diseases  of,  i.  892 
method  of  exposure,  i.  893 
narcosis  paralysis  of,  i.  89s 
Bradford  frame  in  Pott's  disease,  ii.  328 

in  tuberculosis  of  hip,  i.  666 
Bradycardia  in  contusion  of  liver,  iii.  io5 
Brain,  abscess  of,  ii.  73,  319 

indications  for  operation,  ii.   73 
technic  of  operation,  ii.  74 
anatomy,  ii.  43 
angioma  of,  ii.  75 
auditory  sensory  center  of,  ii.  45 
bulging  of,  in  operation,  prevention,  i. 

51 
carcinoma  of,  ii.  75 
compression  of,   ii.  53 

venesection  for,  ii.  54 
concussion  of,  ii.  52 
contusions  of,  ii.  52 
cortex,  motor  area  of,  anatomy,  ii.  44 

sensory  area  of,  ii.  45 
cortical  function  topography,  ii.  45 
cystoma  of,  ii.  75 
decompression  of,  ii.  54 
electric  reaction  of  motor  areas,  testing 

for,  ii.  51 
endothelioma  of,  ii.  75 
fibroma  of,  ii.  75 
foreign  bodies  in,  ii.  63 
glioma  of,  ii.  75 
gliosarcoma  of,  ii.  75 
hernia  of,  ii.  64 

hypophysis  of.     See  Pituitary  body. 
inflammations  of,  ii.  73 
injuries  of,  ii.  63 
lateral  ventricle  of,  ii.  48 
lipoma  of,  ii.  75 
myxoma  of,  ii.  75 


Brain,  olfactory  sensory  center  of,  ii.  45 
operations   on,    advantages   of   outward 
dislocation  in,  ii.  51 
hexamethylenamin  to  prevent  menin- 
gitis after,  i.  52 
lumbar  puncture  in,  ii.  51 
preventing  bulging  in,  ii.  51 
psammoma  of,  ii.  75 
reading  center  of,  ii.  44 
sinuses  of,  ii.  44 
lateral,  ii.  47 
skull  and,  relations,  ii.  46 
special  sensation  areas  of,  ii.  45 
speech  center  of,  ii.  44 
substance,  hemorrhage  into,  ii.  57 
superior  longitudinal  sinus  of,  ii.  47 
surface  topography,  ii.  44 
syphilis  of,  ii.  75 
teratoma  of,  ii.  75 
topography  of,  ii.  48 
tuberculosis  of,  ii.  75 
tumors  of,  ii.   75.     See  also   Tumors  of 

brain. 
visual  sensory  center  of,  ii.  45 
wounds  of,  ii.  61 
bullet,  ii.  62 
stab,  ii.  62 
writing  center  of,  ii.  44 
Branchial  cysts  of  neck,  ii.  372 

fistulae  of  neck,  ii.  372 
Brault's  method  of  removing  tattoo  marks, 

i.  849 
Brawny  arm,  i.  463 
Breast,  ii.  471 

adenofibroma  of,  ii.  475 
adenoma  of,  cystic,  ii.  475 
anatomy,  ii,  471 
angioma  of,  ii.  475 

bandage  of,  double  compression,  iii.  767 
single  compression,  iii.  766 
triangular  suspensory,  iii.  791 
benign  tumors  of,  ii.  47s 
binders,  i.  49 
caked,  ii.  473 
cancer  of,  ii.  477 

contraindications  to  operation,  ii.  477 

cure,  ii.  477 

doubtful,  operations  in,  ii.  478 

early  and  complete  extirpation  of,  ii. 

477 
extensive  recurrent,  ii.  494 
inoperable,  ii.  494 
lines  of  incision  in,  ii.  480 
lymph  glands  in,  ii.  479 
operation  in,  ii.  477,  489 
after-treatment,  ii.  48S 
closure  of  wound,  ii.  486,  492 
drainage,  ii.  488 
dressing,  ii.  488 
radical  cautery,  ii.  492 
saving  of  blood,  ii.  486 
shock  in,  ii.  486 
steps,  ii.  480 
prognosis,  ii.  478 
prevention,  ii.  477 
radium  in,  iii.  713 
recurrence,  operations  for,  ii.  478 


Breast 


17 


Bursitis 


Breast,  cancer  of,  tissues  to  be  removed  in, 
ii.  479 
congenital  anomalies,  ii.  472 
contusions  of,  ii.  472 
cystadenoma  of,  ii.  475 
cysts  of,  ii.  476 
dermoid  cysts  of,  ii.  477 
fistula  of,  chronic,  ii.  474 
foreign  bodies  in,  ii.  472 
hydatid  cysts  of,  ii.  477 
hypertrophy  of,  ii.  472 

senile  parenchymatous,  ii.  475 
lipoma  of,  ii.  475 
lymphatics  of,  ii.  472 
male,  cancer  of,  ii.  497 
chronic  mastitis  in,  ii.  497 
tumors  of,  ii.  497 
myxoma  of,  intracanalicular,  ii.  475 
neuralgia  of,  ii.  473 
nevus  of,  ii.  475 

operations  on,  local  anesthesia  in,  i.  148 
papillomatous  cysts  of,  ii.  477 
simple  cysts  of,  ii.  477 
tuberculosis  of,  ii.  475 
tumors  of,  benign,  incisions  for  removal, 
ii.  477 
mixed,  ii.  475 
wounds  of,  ii.  472 
Bregma,  ii.  45 
Bridging  of  nerves,  i.  855 
autoplastic,  i.  855 
heteroplastic,  i.  855 
Brilliant  green  as  antiseptic,  i.  65 
for  infected  wounds,  iii.  810 
Brinsmade's  operation  for  securing  muscu- 
lar control  of  artificial  anus,  ii.  694 
Broad  ligaments,  iii.  325,  326 
abscess  of,  iii.  426 
cellulitis  of,  iii.  426 
hemorrhage  into,  iii.  426 
plication  of  anterior  fold  of,  for  retro- 
version, iii.  392 
tumors  of,  ii.  426 
varicose  veins  of,  iii.  426 
Bromethyl  anesthesia,  i.  118 
Bromidrosis,  i.  844 
Bromoform  anesthesia,  i    118 
Bronchi,   distention   of,   ii.  419.     See   also 
Bronchiectasis. 
foreign  bodies  in,  ii.  224 
removal,  ii.  244 

pneumotomy  for,  ii.  456 
operations  on,  local  anesthesia  for,  i.  144 
strictures  of,  ii.  422 
Bronchiectasis,  ii.  419 
advanced,  ii.  419 
antiseptics  in,  ii.  419 
colloidal  silver  in,  ii.  419 
ligation  of  pulmonary  artery  in,  ii.  420 
mild,  ii.  419 

phrenic  neurectomy  in,  ii.  420 
pneumectomy  in,  ii.  420 
pneumoh'sis  in,  ii.  420 
pneumotomy  in,  ii.  419 
superheated  air  inhalations  in,  ii.  419 
thirst  cure,  ii.  419 
thoracoplasty  in,  ii.  420 


Bronchoscopy,  ii.   225,  239 
lower,  ii.  243 

position  of  patient  for,  ii.  240 
superior,  ii.  242 
Bronze  wire  sutures,  i.  38 
Brophy's    method    of    operation    in    cleft- 
palate,    ii.  265 
Brushes  for  skin  cleansing,  i.  82 
Bryant's  method  of  posterior  osteoplastic 

thoracotomy,    ii.  462 
Bubo,  iii.  460 

chancroid,  iii.  460 
Buck's  extension  in  fractures,  i.  488 
Bulb  of  penis,  iii.   248 
Bulbus  oculi,  ii.  115,  116 
Bulgarian    bacillus   as   urinary   antiseptic, 

iii.  142 
Bullet  wounds,  i.  222 

from  explosive  bullet,  i.  222 
of  abdominal  wall,  ii.  535 

compression  treatment,  ii.  536 
of  brain,  ii.  62 

of  intestines,  perforating,  i.  567 
of  joints,  i.  656 
of  kidney,  iii.  146 
of  liver,  iii.  107 
of  spine,  ii.  325 
Bunion,  iii.  491,  493 
Buried  suture,  i.   191 
Burns,  Alexander's  paste  for,  iii.  807 
dichloramin   for,   i.  65 
distortions   and    contractions    following, 

iii.  693  _ 
electric,  iii.  720 
from  caustics,  i.  S25 
of  conjunctiva,  ii.   124 
of  cornea,  ii.  128 
of  larynx,  ii.  219 
of  neck,  ii.  373 
of  skin,  i.  820 
extensive,  i.  822 
from  acids,  i.  825 
from  caustics,  i.  825 
from  dry  heat,  i.  825 
from  hot  fluids,  i.  825 
granulating,  i.  824 
hydrotherapy  in,  i.  822 
of  small  area,  i.  821 
of  variable  areas,  i.  821 
paraflin  occlusion  treatment,   i.  823 
prevention  of  deformity  in,  i.  824 
vaccines  in,  i.  824 
of  tongue,  ii.  288  . 
of  trachea,  ii.  219 
.r-ray,  iii.  703,  720 
Burrs,  Doyen's,  ii.  27,  29 

Hudson's,  ii.  28,  29 
Bursae,  i.  819 

contusions  of,  i.  819 
wounds  of,  i.  819 
Bursal  cysts  of  neck,  ii.  372 
Bursitis,  iii.  465 
exostosis,  i.  709 
infective,  i.  819 
non-infective,  acute,  i.  S19 

chronic,  i.  819 
peri-articular,  of  shoulder-joint,  iii.  451 


Bursitis 


18 


Cancer 


Bursitis,  prepatellar,  iii.  465 

pretibial,  iii.  465 

tuberculous,  i.  819 
Busch  and  Momburg's  cosmetic  treatment 

of  facial  paralysis,  iii.  687 
Buttock,  aneurism  of,  i.  398 

bandage  of,  spica,  iii.  768 
Button,  Biskra,  i.  273 

method  of  intestinal  anastomosis,  ii.  667 
lateral,  ii.  671 

sutures,  i.  197 
Byrne's   cautery  treatment  for  cancer  of 

uterus,  iii.  422 

Cacecexia  hypophyseopriva,  ii.  83 
Caked  breast,  ii.  473 
Calcaneobursitis,  iii.  495 
Calcaneo valgus,  iii.  482 
Calcaneovarus,  iii.  482 
Calcaneum,  excision  of,  i.  734,  736 

resection  of,  i.  734 
Calcaneus,  paralytic,  iii.  484 
Calcium  hypochlorite  in  peritonitis,  ii.  551 

hyposulphite  as  disinfectant,  i.  61 

in  hemorrhage,  i.  343 
Calculi,  biliary,  ii.  780;  iii.  116.     See  also 
Gall-stones. 

of  salivary  ducts,  ii.  291,  379 

of  seminal  vesicles,  iii.  278 

pancreatic,  ii.  7S3 

prostatic,  iii.  248 

renal,  iii.  152 

operations  for,  iii.  153 

ureteral,  iii.  r 52,  157 
operations  for,  iii.  153 

vesical,  iii.  197.    See  also  Stone  in  bladder. 
Callositas,  i.  841 
Callosities  of  foot,  iii.  493 

of  matrix  of  nails,  i.  848 
Callus,  i.  841 

bone  i.  472 

excessive,  in  fractures,  i.  525 
Calmette's  serum  in  snake  bite,  i.  275 
Calomel,  as  antiseptic,  i.  59 

in  syphilis,  i.  288 
Calot's  high  jacket  in  Pott's  disease,  ii.  332 
Camphor  for  treatment  of  shock,  i.  217 
Camphorated  oil  in  peritonitis,  ii.  551 
Camphor-paraffin,  formaldehyd-phenol  in, 

for  infected  wounds,  iii.  805 
Canal,  external  auditory,  ii.  299,  304.     See 
also  Auditory  canal,  external. 

Fallopian,  ii.   299 

lacrimal,  atresia  of,  ii.  136 
enlargement  of,  ii.  177 
Cancer,  i.  327 

abdominal,  inoperable,  ii.  706 

Bougard's  paste  in,  i.  331 

caustics  in,  i.  330 

charlatanism  in  treatment,  i.  330 

early  treatment,  i.  328 

etiology,  i.  327 

houses,  i.  327 

in  pelvis,  radium  in    iii.  714 

infection,  ii.  706 

inoperable,  i.  331 

drug  treatment,  i.  332 


Cancer,  inoperable,  palliative  treatment,  i. 

331 
Marsden's  paste  in,  i.  331 
metastases  in  lymph-nodes,  i.  466 

time  of  formation,  i.  328 
of  abdominal  wall,  ii.  538 
of  appendix,  iii.   104 
of  axilla,  extensive  recurrent,  ii.  494 
of  bladder,  iii.  196 

radium  in,  iii.   712 
of  bones,  i.  470 
of  brain,  ii.  75 

of  breast,  ii.  477.     See  also  Breast,  cancer 
of. 

radium  in,  iii.  713 
of  cardia,  resection  for,  ii.  756 
of  cecum,  ii.  589 
of  colon,  ii.  584 
of  common  bile-duct,  iii.  it8 
of  deeper  parts,  a:-rays  in,  iii.  705 
of  descending  colon,  ii.  590 
of  esophagus,  radium  in,  iii.  712 
of  gall-bladder,  iii.  118 
of  hepatic  flexure  of  colon,  ii.  590 
of  intestines,  ii.  583,  588 
of  kidney,  iii.  151 
of  larynx,  ii.  223 
of  liver,  iii.  112 

of  lower  part  of  sigmoid,  ii.  591 
of  lymphatics  of  neck,  ii.  363 
of  male  breast,  ii.  497 
of  middle  and  upper  sigmoid,  ii.  592 

of  transverse  colon,  ii.  590 
of  neck,  extensive  recurrent,  ii.  494 

secondary,  ii.  372 
of  nipples,  ii.  473 
of  nose,  ii.  r88 
of  ovary,  iii.  434 
of  penis,  iii.  253 

amputation  for,  iii.  255 

extirpation  for,  iii.  256 
of  prostate,  iii.  246 

palhative  treatment,  iii.  248 

prostatectomy  for,  iii.  247 

radium  in,  iii.  712 

recurrence,  iii.  248 
of  pyloric  end  of  stomach,  radical  opera- 
tion for,  ii.  756 
of  pylorus,  ii.  720 
of  rectum,  iii.  75 

excision  by  abdominal  route  for,  iii.  80 
by  perineal  route  for,  iii.  78 
by  postrectal  route  for,  iii.  76 
by  sacral  route  for,  iii.  78 
by  two-stage  abdominosacral  opera- 
tion in,  iii.  81-84 
by  vaginal  route  in,  iii.  80 
through  anus  for,  iii.  76 

external  proctotomy  in,  iii.  75 

inguinal  anus  in,  iii.  76 

inoperable,  palliative  treatment,  iii.  85 

operation  for,  iii.  75 
infection  after,  iii.  85 
preparations  for,  iii.  70 
preservation  of  anus  in,  iii.  84 

proctectomy  for,  iii.  75 

radium  in,  iii.  712 


Cancer 


19 


Cartilages 


Cancer  of  rectum,  recurrence,  iii.  85 

resection  with  preservation  of  sphincter 

ani  for,  iii.  84 
vaginal  proctotomy  for,  iii.  75 

of  sigmoid,  ii.  589 

of  skin,  i.  843 

of  skull,  ii.  43 

of  splenic  flexure  of  colon,  ii.  590 

of  stomach,  ii.  703 

choice  of  operation  in,  ii.  704 
doubtful,  exploratory  operation  in,  ii. 

gastrectomy  in,  ii.  764 

gastro-enterostomy  in,  ii.  704 

gastrojejunostomy  in,  ii.  705 

gastrostomy  in,  ii.  705 

inoperable,  ii.   704 

involvement  of  transverse    mesocolon 
in,  ii.  705 

operative  mortality,  ii.  704 

palliative  operations  in,  ii.  704 

pyloric,  operation  for,  ii.  756 

radium  in,  iii.  712 

recurrence,  ii.  704 

symptoms,  ii.  703 
of  testicles,  iii.  306 

operation  for,  iii.  307 
of  thorax,  extensive  recurrent,  ii.  494 
of  thyroid  gland,  ii.  381 
of  tongue,  ii.  292 

excision  in,  ii.  293.     See  also  Excision 
of  tongue. 

incurable,  alcohol  injections  in,  i.  869 

operation  in,  ii.  364 
of  upper  part  of  rectum,  ii.  591 
of  urethra,  iii.  272 

retention  of  urine  from,  iii.  212 
of  uterus,  iii.  374 

abdominal  hysterectomy  for,  iii.  421 

acetone  treatment,  iii.  424 

cautery  for,  iii.  422 

fulguration  for,  iii.  424 

incurable,  iii.  425 

inoperable,  iii.  425 

prognosis,  iii.  424 

radiation  for,  iii.  424 

radium  for,  iii.  711 
of  vagina,  iii.  356 

radium  in,  iii.  711 
of  vulva,  iii.  32S 
radical  treatment,  i.  32S,  329 
recurrent,  .%'-ra3's  in,  iii.  705 
spontaneous  cure,  i.  331 
tissue,  effect  of  radium  on,  iii.  710 
Cancrum  oris,  ii.   247 
Canthoplasty,  ii.  143 

for   enlarging   palpebral    fissure,    ii.   142 
Canula  and  trocar,  i.  79 

Bellocq's,    in   nasal  hemorrhage,  ii.  1S5 
Canulization   of   bladder,    suprapubic,    iii. 

213 
CapiUary  nevi,  i.  453 
Capitellum   bandage,   antero-posterior,   iii. 

single,  iii.  748 
transverse,  iii.   747 
Capsule,  Tenon's  advancement  of,  ii.  177 


Capsulotomy,    preliminary',    for   immature 

cataract,  ii.  168 
Caput  succedaneum,  iii.  694 
Carbolic  acid,  i.  65 
Carbon  dioxid  in  anesthesia,  i.  122 

in  nevus  pigmentosus,  i.  842 
Carbuncle,  i.  253 

actual  cautery  in,  i.  253 
circular  incision  in,  i.  253 
dressings  for,  i.  253 
of  hand,  iii.  444 
of  upper  lip,  i.  233 
time  for  incision,  i.   253 
Carcinoma.     See  Cancer. 
Cardia,  cancer  of,  resection  for,  ii.  756 
Cardiac  diseases  as  factor  in  operation,  i. 
182 
orifice  of  stomach,  ii.  69S 
stenosis  of,  ii.   715 
Cardiolysis  for  pericardial  adhesions,  ii.  424 
Cardiorrhaphy,  ii.  427 
Cardiospasm,  ii.  716 
CargUe  membrane,  i,  74 

to    prevent    adhesions    in    abdominal 
operations,  ii.  522 
Caries  of  bones,  i.  468 
of  ribs,  ii.  398 
of  teeth,  ii.  275 
Carnes'  prosthetic  apparatus  with  movable 

joints,  iii.  608 
Carotid  aneurism,  i.  399 
artery,  common,  anatom\-,  i.  406 
ligation  of,  i.  406 

at  inferior  carotid  triangle,  i.  407 
at  superior  carotid  triangle,  i.    408 
indications  for,  i.  408 
slow,  i.  408 
compression  of,  in  hemorrhage,  i.  360 
external  ligation  of,  i.  409 
internal,  ligation  of,  i.  410 
wounds  of,  ii.  360 
gland,  ii.  395 

triangle,    inferior,    ligation    of  common 
carotid  artery  at,  i.  407 
superior,  i.  406 

ligation  of  common   carotid  artery 
at,  i.  40S 
tubercle,  i.  407 
Carpometacarpal   joint,   disarticulation   of 
metacarpal  bones  at,  iii.  554 
joints,  dislocations  of,  i.  639 
Carpus,  dislocations  of,  i.  638 
of  individual  bones,  i.  639 
fractures  of,  i.  579 
Carrel-Dakin    instillation    method    for    in- 
fected wounds,  i.  242 
Carr's  clamp  for  scalp  operations,  ii.  21 
Cart,  anesthetizing,  i.  94 
Carter's  nasal  splint,  ii.  180 

operation  for  saddle-nose,  iii.  682 
Cartilages,  costal,  dislocations  of,  i.  623 
necrosis  of,  ii.  39S 

resection  of,  in  rigidity  of  chest,  ii.  421 
fractured,  i.  653 
grafts  of,  in  joint  resections  for  ankylosis, 

i-  759 
laryngeal,  dislocations  of,  ii.  220 


Cartilages 


20 


Celluloided 


Cartilages,  nasal,  transplanting  of,  ii.  192 

of  joints,  dislocation  of,  i.  652 

semilunar,  of  knee-joint,  dislocation  of, 
i.  652 

transplantation  of,  iii.  648 
Caruncle,  urethral,  iii.  328 
Caseous  tonsillitis,  ii.  212 
Casper's  lubricant  for  bladder  instruments, 

iii.   184 
Castration  in  male,  iii.  319 
Cataplasma   kaolini   for   inflammations,   i. 

234 
Cataract,  ii.  132 

after-,  operations  for,  ii.  174 
artificial  ripening  in,  ii.  133 
best  time  for  operation,  ii.  133 
congenital,  ii.  133 
couching,  ii.  172 
depressing,  ii.  172 
discussion  of,  ii.  169 
extraction,  accidents  in,  ii.  167 

after-treatment,  ii.  166 

combined,  ii.  166 

linear,  ii.  170 

of  crystalline  lens  without  incision  of 
capsule  in,  ii.  70 

simple,  ii.  165 

suction  in,  ii.  173 

suturing  corneal  wound  after,  ii.  172] 

two-stage,  ii.  171 

vacuum,  ii.   174 

with  capsule  after  subluxation,  ii.  171 

without  iridectomy,  ii.  165,  166 
immature,    intracapsular    extraction,    ii. 
171 

preliminary  capsulotomy  for,  ii.  168 
monocular,  ii.  133 
needle  operation  for,  ii.  169 
operations  for,  ii.  165 
partial,  ii.  133 
ripe,  ii.  133 

secondary,  operations  for,  ii.  174 
traumatic,  ii.  133 

immediate  removal,  ii.  173 
zonular,  ii.  133 
Catarrh,  cervical,  iii.  368 
Catarrhal  acute  laryngitis,  ii.   220 

tonsillitis,  ii.  212 
epidemic  conjunctivitis,  ii.   122 
esophagitis,  acute,  ii.  432 
inflammation,  acute,  of  frontal  sinuses,  ii. 
199 
of  maxillary  antrum,  u.  195 

chronic,  of  frontal  sinuses,  i.  199 
of  maxillary  antrum,  ii.   195 
Catgut,  i.  33 
argentized,  i.  36 
braided,  i.  34 

chromic,  for  ligating  arteries,  i.  402 
chromicized,  i.  36 
for  ligatures,  i.  337 
sizes,  i.  33 
sterilization  of,  i.  34 

alcohol  method,  i.  35 

ammonium  sulphate  method,  i.  35 

Bartlett's  method,  i.  36 

bichlorid  of  mercury  method,  i.  35 


Catgut,  sterilization  of,  cumol  method,  i.  34 
dry  heat  method,  i.  36 
formalin-iodin  method,  i.  36 
formalin  method,  i.  36 
iodin  method,  i.  35 
moist  heat  method,  i.  36 
paraffin  method,  i.  36 
potassium  mercuric  iodid  for,  i.  35 
tannic  acid  method,  i.  37 
toluol  method,  i.  35 
sterilized,  in  tubes,  i.  34 
treatment  of  hydrocele,  iii.  316 
Cathelin's  epidural  injection  treatment  of 

enuresis,  iii.  208 
Catheter  a  demeure,  iii.  222 

introduction  of,  method,  iii.  184 
Catheterization  for  hypertrophy  of  prostate, 
iii.   231 
of  arteries,  i.  380 
of  Eustachian  tube,  ii.  302 
of  ureters,  iii.  188 

by  air  distention,  iii.  188 
retrograde,  in  urethral  stricture,  iii.  299 
Cauliflower  ear,  ii.  303 
Caustics,  i.   73 

gastritis  due  to,  ii.   702 
in  cancer,  i.  330 
in  inoperable  cancer,  i.  331 
Cautery,  actual,  i.  80 
in  carbuncle,  i.  253 
in  ulcer  of  stomach,  ii.  724 
as  hemostatic,  i.  339 
cutting,  i.  80 
electric,  i.  80,  83 
for  cancer  of  uterus,  iii.  422 
for  inoperable  cancer,  i.  331 
in  prolapse  of  rectum  and  anus,  iii.  67 
Paquelin,  i.  80 

radical,  in  cancer  of  breast,  ii.  492 
Cavernous  angioma,  i.  454 

sinus,  arteriovenous  aneurism  in,  ii.  73 
thrombosis  of,  ii.  72 
C.  E.  anesthetic  mixtures,  i.   119 
Cecostomy,  ii.  572 
Cecum,  anatomy,  ii.  624 

and  appendix,  hernia  of,  iii.  51 
cancer  of,  ii.  589 
exposure  of,  incision  for,  ii.  510 
implantation  of  ureters  into,  for  exstro- 
phy of  bladder,  iii.  205 
resection  of,  indications  for,  ii.  642 
tuberculosis  of,  ii.  575 
Cells,  mastoid,  ii.  299 
Cellulitis,  i.  264 
diffuse  acute,  i.  250 
elastic  bandage  in,  i.  229 
gangrenous,  i.  318 
of  auricle,  ii.  303 
of  broad  ligaments,  'ii.  426 
of  external  auditory  canal,  ii.  304 
of  finger-tips,  iii.  443 
of  lips,  ii.  246 
of  neck,  ii.  361 

superficial,  ii.  362 
of  parotid  gland,  ii.  379 
of  scalp,  ii.  23 
Celluloided  linen  sutures,  i.  38 


Cement 


21 


Chinosol 


Cement  dressings,  i.  56 
Cenencephaloccle,  ii.  93 
Centipedes,  bites  of,  i.   276 
Cephalhematoma  in  newborn,  iii.  694 
Cerebellar  abscess,  usual  site,  ii.  5° 
Cerebellopontine  angle,  osteoplastic  crani- 
otomy for  exposure  of,  ii.  41 
Cerebral  abscess,  usual  site,  ii.  50 
apoplexy,  spontaneous,  ii.  58 

temporal  craniotomy  in,  ii.  58 
localization,  ii.  48 

ventricles,  lateral,  puncture  of,  in  hydro- 
cephalus, ii.  96 
puncture  of,  in  hydrocephalus,  ii.  95, 
96 
Cerebrospinal  fluid  in  spinal  anesthesia,  1. 

156 

meningitis,  epidemic,  ii.  67 
carriers  in,  ii.  67 
Flexner's  treatment,  ii.  67 
intravenous    serum    treatment,    iii. 

820 
lumbar  puncture  in,  ii.  67 
rhinorrhea,  ii.  73 
sinuses,  ii.  73 
Cerumen,   impacted,   in   external  auditory 

canal,  ii.  305 
Cervical  catarrh,  iii.  36S 

esophagectomy,  partial,  ii.  443 
esophagotomy,  external,  ii.  442 
lymphatics,  operations,  local  anesthesia 

for,  i.  14s 
mediastinotomj'  in  esophageal  abscess,  ii. 

433 
nerves,  injuries  and  diseases  of,  i.  890 
pleura,  ii.  399 
ribs,  ii.  373 

suprapubic  Cesarean  section,  iii.  408 
sympathetic  ganglia,  injuries  to,  i.  89S 
removal  of,  in  epilepsy,  i.  899 

in  exophthalmic  goiter,  i.  899 
resection  of,  i.  899 
upper,  removal  of,  in  glaucoma,  i.  898 
vertebrae,  lower  six,  dislocations  of,  i.  622 
Cervicitis,  iii.  368 
Cervico-occipital  neuralgia,  i.  890 
Cervix,  congenital  abnormalities,  iii.  375 
cystic  degeneration  of,  iii.  37s 
epithelioma  of,  iii.  375 
erosions  of,  iii.  369 
hypertrophy  of,  iii.  375 

amputation  in,  iii.  375 
laceration  of,  iii.  334,  362 
suture  of,  iii.  362 
Cesarean  section,  iii.  401,  404 
after-treatment,  iii.  408 
delivery  of  child  in,  iii.  407 
extraperitoneal,  iii.  408 
indications  for,  iii.  404,  405 
instruments  for,  iii.  405 
postmortem,  iii.  408 
preparations  for,  iii.  405 
results,  iii.  40S 
suprapubic  cervical,  iii.  408 
technic,  iii.  406 

with  retention  of  uterus  in  abdomen, 
iii.  40S 


Chain  suture,  i.   195,  200 

tied,  i.  200 
Chair,  French's,  for  adenoid  operations,  ii. 

209 
Chalazion,  ii.  120 
Chalk  paste  in  fistulas,  i.  308 
Chancre  of  penis,  iii.  252 

primary,  of  finger-tip;  iii.  444 
sj'philitic,  excision  of,  i.  284 
treatment,  i.  302 
Chancroid,  iii.  251 
bubo,  iii.  460 

fulguration  treatment,  iii.  252,  703 
Chapped  hands,  i.  849 

lips,  i.  832;  ii.  246 
Charcoal  dressings,  i.  42 
Charcot's  disease  of  joints,  i.  681 
Charlatanism  in  cancer  treatment,  i.  330 
Chart,  narcosis,  i.  96 
Cheek,  bandage  of,  iii.  743 

defects   not   involving   whole   thickness, 
plastic  operation  for,  iii.  657 
plastic  operations  for,  iii.  657 

with  double  transplanted  flap  of 
forearm  for,  iii.  665 
mucous  membrane  of,  plastic  operation 

for  defect  of,  iii.  665 
plastic  operation  on,  transplanting  flap 

with  temporal  artery  in,  iii.  660 
restoration    of    whole   thickness,    plastic 
operation  for,  iii.  657 
Chemicals,  sterilization  by,  i.  30 
Chenopodium    oil    in    amebic    colitis,    ii. 

570 
Chest,  bandage  of,  figure-of-eight,  anterior, 
iii.  766 
cravat,  iii.  787 
posterior,  iii.  766 
special,  iii.  765 
triangular,  iii.  791 
rigidity  of,  ii.  421 
wall,  abscess  of,  ii.  398 
inflammation  of,  ii.  398 
penetration  of,  wounds  of  lung  with,  ii. 

413 
tumors  of,  ii.  444 

wounds  of,  non-penetrating,  ii.  397 
penetrating,  ii.  397 
Chiari's    incision    for    nasal    approach    to 

pituitary  bod}',  ii.  90 
Chigo,  bites  of,  i.  276 
Chilblains,  i.  319,  S26 
Childbirth,  retroversion  of  uterus  from,  iii. 

388 
Children,  acute  simple  rhinitis  in,  ii.  1S6 
appendicitis  in,  iii.  102 
circumcision  in,  iii.  259 
deforming  osteochondritis  of  hip-joint  in, 

iii.  463 
general  anesthesia  in,  i.  102 
gonorrheal  vulvovaginitis  in,  iii.   285 
hydrocele  in,  iii.  314 
susceptibility  of,  to  shock,  i.  19 
vulvovaginitis  in,  iii.  355 
Chin  and  scalp,  bandage  of,  iii.  786 

bandage  of,  four-armed,  iii.  7S3 
Chinosol  as  antiseptic,  i.  60 


Chipault 


22 


Circumscribed 


Chipault's  method  of  craniocerebral  locali- 
zation, ii.  48,  49 

primary  lines,  ii.  48 

secondary  lines,  ii.  49 
Chloasma,  i.  840 
Chloral  hydrate  as  antiseptic,  i.  73 

in  tetanus,  i.  267 
Chloramin  as  antiseptic,  i.  60 

for    treatment    of    infected    wounds,   i. 
242 

wax  for  superficial  wounds,  iii.  807 
Chloraminated  oil  as  antiseptic,  i.  64 
in  compound  fractures,  i.  519 
in  infected  wounds,  i.  247 
treatment  for  infected  wounds,  i.  247 
Chlorazene  as  antiseptic,  i.  60,  64 

gauze,  i.  41 

in  infected  wounds,  i.   247 
Chlorcosane  as  antiseptic   i.  65 
Chloretone  gauze,  i.  41 

in  tetanus,  i.  267 
Chlorin  content  of  chlorinated  lime,  titra- 
tion to  determine,  i.  62 

liquid  as  antiseptic,  i.  64 
Chlorinated  gauze,  i.  40 

lime  as  antiseptic,  i.  61 

titration  to  determine  chlorin  content, 
i.  62 

oil  in  peritonitis,  ii.  551 

saline  solution,  i.  63 
Chlormetacresol  as  antiseptic,  i.  60 
Chloroform  anesthesia,  i.  116 

accidents  in,  treatment,  i.  116 

by  mouth,  iii.  807 

dangers  from,  i.  116 

effect  on  suprarenal  capsules,  i.  117 

method  of  administration,  i.  116 

mask,  extemporized,  i.  88 
Chloroform-ether  sequence,  i.  119 
Chloroform-oxygen  anesthesia,  i.  120 
Choked  disk,  iii.  135 
Cholangitis,  acute,  iii.  114 
Cholecystduodenostomy,  iii.  125 
Cholecystectomy,  iii.  127 

drainage  of  ducts  in,  iii.  128 
Cholecystenterostomy,  iii.  125 
Cholecystitis,  ii.  780 

acute,  iii.  114 

chronic,  iii.  115 

subacute,  iii.  114 
Cholecystjejunostomy,  iii.  126 
Cholecystostomy,  iii.   122 

one-stage,  iii.  122 

two-stage,  iii.  123 
Cholecystotomy,  iii.  122 
Choledochectomy,  iii.   T32 
Choledochoduodenostomy,  iii.  131 
Choledochotomy,  iii.   129 

transduodenal,  iii.  131 
Cholelithiasis,   ii.  780;   iii.    116.     See   also 

Gall-stones. 
Cholesteatoma  of  external  auditory  canal, 

ii.  306 
Chondritis,  ii.  223 

costal,  ii.  398 
Chondroma,  i.  324 

bone,  i.  470 


Chopart's    method    of    disarticulation    of 

foot,  iii.  580 
Chorda  tympani,  ii.  299 
Chordee     in     acute     anterior     gonorrhea, 

prevention,  iii.  280 
Chorio-epithelioma,  iii.  375 

of  vagina,  iii.  356 
Choroid,  diseases  of,  ii.  130 

foreign  bodies,  in,  ii.   130 

injuries  of,  ii.  130 

rupture  of,  ii.  131 

tuberculosis  of,  ii.  130 

tumors  of,  ii.   130 

wounds  of,  ii.  130 
Choroiditis,  ii.  130 

suppurative,  ii.  130 
Chrome  holes,  i.  315 
Chromicized  catgut,  i.  36 
Chrysarobin-serum  treatment  of  psoriasis 

i.  835 
Cicatricial    contractures    of    eyeball,    old, 
operations  for,  ii.  159 

stenosis  of  esophagus,  ii.  433 
of  pylorus,  ii.  720 
Cicatrix,  adherent,  i.  225 

of  muscles,  i.  791 

painful,  i.  225 
Cigarette  drains,  i.  47,  48 
Ciliary  body,  diseases  of,  ii.  130 
inflammation  of,  ii.  130 
wounds  of,  ii.  30 
Cinematic  amputations,  iii.  526 
Cineplastic  amputations,  iii.  526 

extension    apparatus    for    stump,    iii. 

533 
motor  club  in,  iii.  531 
loop  in,  iii.  530 
stump  in,  iii.  529 
of  leg,  iii.  538 
of  thigh,  iii.  538 
through  forearm,  iii.  527 
through  upper  arm,  iii.  537 
transitory,  iii.  538 
stumps  in  amputation  of  leg,  iii.  587 
movable  joints  without,  iii.  608 
Circular  amputation,  iii.  504,  505 
advantages,  iii.  507 
combined   with   flap   amputation,    iii. 

S15 
cuff  method,  iii.  507 
of  forearm  in  lower  third,  iii.  556 
suturing  skin  in,  iii.  513 
technic,  iii.  $1$ 
treatment  of  muscle  in,  iii.  513 
and  flap  amputation,  combined,  iii.  515 
bandage,  iii.  737 
method  of  amputation,  iii.  515 
occlusion  method  of  external  anastomo- 
sis, ii.  658 
Circulation,  collateral,  tests  of  efficiency,  i. 

39° 
Circumcision,  iii.  258 
in  children,  iii.  259 
of  leg  in  varicose  veins,  i.  452 
Circumflex  nerve,  injuries  to,  i.  896 
Circumscribed  acute  inflammation  of  ex- 
ternal auditory  canal,  ii.  304 


Cirrhosis 


23 


CoIIes 


Cirrhosis,  bUiary,  ii.  785 
of  liver,  iii.  112 
of  stomach,  ii.  702 
Cirsoid  aneurism,  i.  400 

of  scalp,  ii.  25 
Cisterna  magna,  drainage  of,  into  cranial 

sinuses,  in  hydrocephalus,  ii.  98 
Citric  acid,  as  antiseptic,  i.  72 
Clamp  method  of  intestinal  anastomosis, 
ii.  676 
Michel,  for  wounds,  i.  1S7,  i8g 
Claviceps  purpurea,  i.  318 
Clavicle,  dislocations  of,  i.  623.     See  Dis- 
locations of  clavicle. 
excision  of,  i.  729 

fractures  of,  i.  550.     See  also  Fractures 
of  clavicle. 
recumbent  treatment,  i.  550 
rest  treatment,  i.  550 
Sayre's  dressing  for,  modified,  i.  552 
resection  of,  i.  721 
Clavus,  i.  841 
Claw-foot,  iii.  482 
Claw-hand,  i.  897;  iii.  455 
Claw-toe,  iii.  491 

Cleanliness  in  wound  infection,  i.  28 
Cleansing  hands,  i.  173.     See  also  Sterili- 
zation of  hands. 
mechanical,  of  infected  wounds,  i.  28 
mouth,    ii.   244 
Cleft  eyelids,  ii.  119 

lobule  of  auricle,  ii.  303 
Cleft-palate,  ii.  257 

early  pressure  treatment,  ii.   258 
etiology,  ii.  257 
operation  in,  ii.  258 
after-treatment,  ii.  265 
best  time  for,  ii.  258 
disturbed  phonation  after,  ii.  266 
failure  of  union,  ii.  265 
for  closing  narrow  cleft,  ii.  259 

wide  cleft,  ii.  262 
incisions  for,  ii.  261 
instruments  for,  ii.  258 
jaw-compressing,  ii.  265 
later,  ii.  258 

position  of  patient,  ii.   25S 
suture   of   interma.xiUary   segment,   ii. 

voice-training  after,  ii.  266 
with  sliding  flap,  ii.  261 

Climate  in  etiology  of  adenoids,  ii.  208 

Clinic,  cooperative,  iii.  799 

Clips,  absorbable  metal,  for  closing  blood- 
vessels, i.  339 

Clitoris,  iii.  323 

hypertrophy  of,  iii.  328 
prepuce  of,  adhesions  of,  iii.  328 

Cloaca,  persistent,  iii.  357 

Closed  method  for  ether  anesthesia,  i.   106 

Closure  of  abdomen,  ii.  516 

of    wounds,    i.  187;    iii.  S09.     See    also 
Sutures. 

Clothing,  operating,  for  surgeon,  i.  51,  173 

Club-foot  acquired,  iii.  480 
adhesive  plaster  strips  in,  iii.  472 
after-treatment,  iii.  4S1 


Club-foot,  congenital,  open  operation   for, 
iii.  477 
correction  with  plaster-of-Paris,  iii.  469 
cuneiform  osteotomy  for,  iii.  481 
destructive  open  operation  for,   iii.  480 
Ehrenfried's   method    of   correction,    iii 

47.1 

fi.xation  for,  iii.  469 

forcible  manual  correction,  iii.  474 

later  cases,  treatment,  iii.  474 

manipulation  for,  iii.  469 

overcorrection  for,  iii.  471 

splints  for,  iii.  472 

stage  of  retention  in,  iii.  471 

walking  stage  in,  iii.  472 
Club-hand,  iii.  452 
Coagulability  of  blood,  determination  of, 

i.  458 
Coagulants  in  hemorrhage,  i.  342 
Coal  ash  dressings,  42 

gas,  asphy.xia  from,  iii.  720 
Coaptation  sutures,  i.   196 
Cocain  anesthesia  in  eye  operations,  ii    iiS 

as  local  anesthetic,  i.   134 

as  spinal  anesthetic,  i.  156 

hydrochlorate  as  local  anesthetic,  i.  135 

hydrochiorid  as  mydriatic,  ii.  iiS 
Cocain-adrenalin  for  local  anesthesia,  i.  135 
Coccobacillus  foetidus  ozoenae  vaccines  in 

ozena,    ii.   188 
Coccygeal  neuralgia,  ii.  357 
Coccygodynia,  ii.  357 

alcohol  injections  in,  ii.  358 

massage  in.  ii.  35S 

removal  of  coccyx  for,  ii.  359 
Coccyx,  excision  of,  i.  732 
CodivUla's  method  of  traction  in  fractures, 

i.  486 
Coffey's  method  of  ureterocolostomy,   iii. 
179  _ 

operation   for   relaxed    abdominal    wall, 

.  ii.  541 
Coin  catcher,  extemporized,  i.  89 
Cold,  anesthesia  from,  i.  154 

applications  for  inflammations,  i.   235 
in  chronic  inflammation,  i.  250 

as  hemostatic,  i.  339 

cream  for  drj'  skin,  i.  S49 
!      feet,  iii.  495 

I  Coley's  toxins  in  inoperable  cancer,       332 
\  Colic,  acute  biliary,  iii.  115 

appendicular,  iii.  104 

renal,  iii.  154 
Colitis,  ii.  570 

amebic,  ii.  570 
I       colon  irrigation  in,  ii.  S7° 

continuous  irrigation  in,  ii.  571 

mucous,    chronic    intestinal    obstruction 
from,  ii.  610 
Collapse  during  operation,  i.  218 

of  alas  nasi,  ii.  195 

peritoneal,  ii.  549 
CoUargol  as  antiseptic,  i    67 
Collateral    circulation,    tests    of  efficiency, 

i.  390 
CoUes'    fracture,    i.  575.     See    also    Frac- 
tures, Colics'. 


Collodion 


24 


Congenital 


Collodion,  i.  53 

Colloidal  gold  test  in  syphilis,  i.  299 

silver  as  antiseptic,  i.  67 
in  bronchiectasis,  ii.  419 

solutions,   intravenous  infusion   with,  i. 

347 
Coloboma,   plastic   operation   for,   m.  653 
Colon,  acquired  dilatation  of,  ii.  614 

acute     flexures     of,     chronic     intestinal 
obstruction  from,  ii.  610 
obstruction  of,  ii.  598 
angulations    of,    chronic    intestinal   ob- 
struction from,  ii.  610 
ascending,  anatomy,  ii.  625 

resection  of,  indications  for,  ii,  642 
bacillus  infection  of  kidney,  iii.  148 
lavage  in.  iii.   148 
vaccines  in  appendicitis,  iii.  88 
cancer  of,  ii.  584 
congenital  dilatation  of,  ii.  614 
descending,  anatomy,  ii.  625 

cancer  of,  ii.  590 
dilatation  of,  chronic  intestinal  obstruc- 
tion from,  ii.  610 
hepatic  fle.xure,  cancer  of,  ii.  590 

ptosis  of,  ii.  616 
perforation  of,  ii.  582 
resection   of,   preventing  obstruction   to 

passage  of  gas  in,  ii.  644 
splenic  flexure,  cancer  of,  ii.  690  \ 

ptosis  of,  ii.  616 
transverse,  anatomy,  ii.  625 
cancer  of  middle  of,  ii.  590 
ptosis  of,  ii.  616 

resection  of,  with  preservation  of  omen- 
tum, ii.  646 
sagging  of,  with  elongation  of  gastro- 
colic ligament,  in  gastroptosis,  ii.  713 
Color  of  patient  in  general  anesthesia,  i.  99 
Colostomy,  ii.  573,  685 

apparatus  to  collect  feces  after,  ii.  695 
inguinal,  left,  ii.  686 
lumbar,  ii.  695 
Colpocele,  anterior,  colpoplasty  for,  iii.  343 

posterior,  iii.  342 
Colpocleisis  for  vesicovaginal  fistula,  iii.  352 
Colpoperineorrhaphy,  iii.  342 
Colpoplasty  for  cystocele,  iii.  343 
Colton's  drainage  tube  in  empyema,  ii.  408 
Combined  iridectomy  and  sclerotomy,  ii. 

157 
Comedo,  i.  845 

treatment,  i.  849 
Comminuted    fractures    of    lower    end    of 
humerus,  i.  570 
of  patella,  i.  602 
Commissure,  posterior,  of  vulva,  iii.  323 
Common  duct,  anatomy,  iii.  106 
cancer  of,  iii.  118 
cystic  dilatation,  iii.   113 
division  of,  transverse,  iii,   131 
gall-stones  in,  iii.  116 
incision  of,  iii.  129 

at  retroduodenal  portion,  iii.  130 
operations  for  reconstruction  of,  iii.  135 
perforation,  iii.   114 
removal  of  segment,  iii.   132 


Common  duct,  stricture  of,  iii.  117 
operations  for,  iii.  131 
subcostal  operation  for  exposure,  iii 

"9 
wounds  of,  iii.   114 
Compound  dislocations,  i.  612 
of  shoulder,  i.  632 
fractures,  i.  518 

amputation  in,  conditions  calling  for, 

i.  520 
chloraminated  oil  in,  i.  519 
Colics',  i.  579 

elevation  of  temperature  after,  i.  520 
emergency  treatment,  i.  519 
filling  bone  cavities  in,  i.  706 
first  dressing,  i.  5x8 
immobilization  in,  i.  520 
of  fibula,  i.  606 
of  patella,  i.  603 
of  shaft  of  femur,  i.  592 

of  humerus,  i.  565 
of  sliull,  i.  534 
of  tibia,  i.  606 
with  joint  wounds,  i.  657 
Compress,  radium,  iii.  715 
Compression  bandage  of  breast,  single,  iii. 
766 
of  breasts,  double,  iii.  767 
local,  for  control  of  hemorrhage,  i.  370 
of  artery  in  aneurism,  i.  381 
of  brain,  ii.  53 

venesection  for,  ii.  54 
of  nerves,  i.  851 

temporary,  for  suture  of  arteries,  i.  372 
Concealed  hernia,  iii.  50 
Concussion  in  basal  fractures  of  skuU,  i.  537 
of  abdomen,  ii.  535 
of  brain,  ii.  52 
of  spinal  cord,  ii.  324 
of  thorax,  ii.  397 
Condyles,  fractures  of,  bone-grafts  in,  i.  515 

of  humerus,  fractures  of,  i.  568 
Condyloid  point  of  inferior  maxilla,  ii.  45 
Condyloma  of  rectum,  ii.  74 
Congenital  abnormalities  of  breast,  ii.  472 
of  cervix,  iii.  375 
cataract,  ii.  133 

club-foot,  open  operation  for,  iii.  477 
cysts  of  neck,  ii.  372 
defects  of  external  ear,  ii.  303 
deformity  of  arm,  iii.  457 
dislocations,  i.  613 
of  ankle,  i.  618 
of  elbow,  i.  618 
of  hip,  i.  613 

age  in  treatment,  i.  613 
bone-grafts  in,  i    783 
reduction  by  manipulation,  i.  613 
after-treatment,  i.  615 
dangers,  i.  615 
technic,  i.  614 
by  open  operation,  i.  616 
choice  of  methods,  i.  617 
of  knee,  i.  617,  648 
of  patella,  i.  618 
of  radius,  i.  618 
of  shoulder,  i.  618,  634 


Congenital 


25 


Corpus 


Congenital  dislocations  of  wrist,  i.  6i8 

idiocy,  ii.   103 

imbecility,  ii.  103 

insanity,  ii.   103 

stenosis  of  esophagus,  ii.  433 
of  laryn.x,  ii.  218 
of  trachea,  ii.  218 

stricture  of  urethra,  iii.  286 

talipes  calcaneus,  iii.  482 
equinus,  iii.  482 
varus,  iii.  482 
Congestion,  hypostatic,  i.  228 

irritative,  i.  228 

local,  hemorrhage  in,  i.  359 

traumatic,  i.  22S 
Conical  cornea,  operations  for,  ii.  153 

stump  in  amputation,  iii.  514 

tracheloplasty,  iii.  367 
Conjunctiva,  burns  of,  ii.  124 

diseases  of,  ii.  121 

eczema  of,  ii.  •  123 

foreign  bodies  in,  ii.   124,  127 

hyperemia  of,  ii.   121 

inflammation  of,  ii.   121.     See  also  Con- 
jiincthiiis. 

injections  under,  ii.  151 

operations  on,  ii.  149 

skin  diseases  involving,  ii.  124 

tumors  of,  ii.  124 

wounds  of,  ii.   121,  124 
Conjunctivitis,    acute    contagious,    ii.  122 

diphtheric,  ii.  123 

diplobacillus,  ii.  122 

epidemic  catarrhal,  ii.  122 

follicular,  ii.  123 

gonorrheal,  ii.  123;  iii.   285 

granular,  ii.  123 

neonatorum,  ii.   122 

nongonorrheal,  ii.   122 

phlyctenular,  ii.   123 

pseudomembranous,  ii.   123 

purulent  nonspecific,  ii.  121 

simple,  ii.  121 

sympathetic,  ii.  130 

vernal,  ii.  123 
Connective-tissue  tumors,  benign,  i.  323 
Connell's     end-to-end     anastomosis     with 

mattress  sutures,  ii.  651 
Constipation,  chronic,  in  chronic  intestinal 
stasis,  ii.  613 

in  etiology  of  appendicitis,  iii.  87 
Contagious    conjunctivitis,    acute,  ii.  122 
Continuous   divulsion   in   fractures,   i.  496 

gastric  lavage,  ii.  701 

hypodermoclysis,  i.  345 

intestinal  suture,  ii.  628' 

suture,  i.   190 
Contractions  following  wounds,  burns,  and  - 

ulcerations,  iii.  693 
Contracture  at  hip-joint,  iii.  463 

Dupuytren's,  iii.  454 

fibrous,  of  urethral  orifice,  iii.  246 

of  ej'eball,  old  cicatricial,  operations  for, 
ii.  159 

of  hands,  iii.  450 

and  fingers,  disturbances  of  motion  due 
to,  iii.  4S3 


Contracture  of  muscles,  i.  793 

of  palmar  fascia,  iii.  454 
old,  iii.  450 

of  psoas  parvus  muscle  simulating  appen- 
dicitis, i.  796 
Contusions,  i.  218 

of  abdomen,  ii.  535 

of  bladder,  iii.  190 

of  bones,  i.  467 

of  brain,  ii.  52 

of  breast,  ii.  472 

of  bursas,  i.  819 

of  face,  ii.  115 

of  hip-joint,  iii.  462 

of  intestines,  ii.  565 

of  larynx,  ii.  219 

of  liver,  iii.  106 

of  muscles,  i.  788 

of  nerves,  i.  851 

of  penis,  iii.  250 

of  scalp,  ii.  17 

of  skin,  i.  820 

of  spinal  cord,  ii.  324 

of  testicles,  iii.  303 

of  thorax,  ii.  396 

of  trachea,  ii.  219 

of  urethra,  iii.  271 
Cooperation,   surgical   practice    under,   iii. 

799 
Cooperative  clinic,  iii.  799 
Copper  sulphate  as  caustic,  i.  73 
Coproclysis,  i.  344;  iii.  55  ^ 
Coprostasis,  chronic  intestinal  obstruction 

from,  ii.  610 
Coracoid  bursa,  inflammation    of,   iii.  451 

process,  fractures  of,  i.  556 
Cord,  spinal.  See  Spinal  cord. 
Cornea,  adhesions  of,  to  iris,  ii.  156 

burns  of,  ii.  128 

conical,  operations  for,  ii.  153 

diseases  of,  ii.  124 

eczema  of,  ii.  125 

foreign  bodies  in,  ii.  127 

inflammation  of.     See  Keratitis. 

method  of  inspection,  ii.  116 

opacity  of,  ii.  1 26 

operations  on,  ii.  152 

paracentesis  of,  ii.  152 

tattooing  of,  ii.  152 

transplantation  of,  ii.  153 

tumors  of,  ii.  128 

ulcers  of,  ii.  125 
simple,  ii.  125 

wounds  of,  ii.  121,  128 
Corneal  opacity,  ii.  126 
Corns,  i.  841;  iii.  493 
Cornu  cutaneum,  i.  841 

of  uterus,  iii.  325 
Corona  of  glans  penis,  iii.  248 
Coronal  suture,  ii.  45 
Coronoid  process  of  ulna,  fractures  of,  i. 

573 
Corpora  cavernosa,  iii.  248 

laceration  of,  iii.  250 
Corpus   cavernosum   urethrse,    female,    iiL 
324 

luteum  extract,  iii.  438 


Corpus 


26 


Cuneiform 


Corpus  spongiosum,  iii.  248 

laceration  of,  iii.  250 
Corrosive  esophagi tis,  ii.  432 

sublimate  as  antiseptic,  i.  59 
Corset,  decompression,  in  scoliosis,  ii.  354 
Gallant's,  for  movable  kidney,  iii.  155 
in  Pott's  disease,  ii.  334 
in  scoliosis,  ii.  353 
Cosmetic  surgery,  iii.  622 

treatment  of  facial  paralysis,  iii.  687 
with  tallow,  iii.  688 
Cosmetics,  skin,  i.  849 
Costal  arch,  rhinoplasty  with  cartilage  from, 
iii.  673 
cartilages,   excision   of,   for   exposure   of 
heart  and  pericardium,  ii.  624 
dislocations  of,  i.  623 
necrosis  of,  ii.  398 
resection  of,  in  empyema,  ii.  419 
in  rigidity  of  chest,  ii.  421 
chondritis,  ii.  39S 
joints,  arthritis  of,  ii.  498 
pleura,  ii.  399 
Cotton,  absorbent,  i.  41 
Cotton-process  ether,  iii.  807 
Couching  cataract,  ii.  172 
Counterirritation  for  inflammations,  i.  237 
Counting  sponges  and  instruments,  i.  172 
Cowper's  glands,  inflammation  of,  iii.  275 
Coxa  valga,  iii.  465 

operation  for,  i.  770 
vara,  iii.  463 

of  adolescence,  iii.  465 
operation  for,  i.  770 
Coxalgia,  false,  iii.  465 
Cracks  of  tongue,  ii.  289 
Cradle,  bed,  i.  23,  24 
Cramp,  writers',  iii.  455 
Crane  tendon  sutures,  i.  37 
Cranial  nerve,  fifth,  injuries  and  diseases  of, 

i.  881 
Craniocerebral  localization,  ii.  48 
Chipault's  method,  ii.  48,  49 
Reid's  method,  ii.  49 
topography,  ii.  45 
Craniotabes,  ii.  41 

Craniotomy  for  exposure  of  Gasserian  gan- 
glion, ii.   106 
auriculotemporal,  ii.  106 
control  of  hemorrhage  in,  ii.  109 
dividing  sensory  root,  ii.  107 
high  temporal,  ii.  io5 
intracranial  method,  ii.  107 
low  temporal,  ii.  106 
mortality,  ii.  109 
operation  of  choice,  ii.  109 
position  of  patient  for,  ii.  108 
removing  ganglion  in,  ii.  107 
part  of  ganglion  in,  ii.  108 
results,  ii.  no 
special  modifications,  ii.  108 
subtemporal,  ii.  106 
two-stage  operation,  ii.  108 
in  intracranial  hemorrhage  in  newborn,  ii. 

61 
osteoplastic,  ii.  30,  34 

administration  of  anesthetic,  ii.  31 


Craniotomy,  osteoplastic,  cutting  bone  flap 
in,  ii.  32,  33 
flap  method,  ii.  38 
in  occipital  region,  ii.  31 
incisions  for,  ii.  31 
intermuscular  temporal,  ii.  36 
method  of  applying  drainage  in,  ii.  35 
occipital,  bilateral,  ii.  38,  40,  41 

unilateral,  ii.  37,  39 
position  on  table  for,  ii.  31 
preparation  of  patient,  ii.  30 
suboccipital,  ii.  36 
temporal,  ii.  34,  36 
two-stage  operation,  ii.  32 
subtemporal,  ii.  106 

temporal,  in  spontaneous  cerebral  apo- 
plexy, ii.  58 
Cranium.     See  Skull. 
Cravat  bandage  of  axiUa,  iii.  787 
of  chest,  figure-of-eight,  iii.  7S7 
of  eye,  iii.  787 
of  face,  iii.  786 
of  head,  crossed,  iii.  787 
of  scalp,  iii.  784 
simple  occipitofrontal,  iii.  784 
sling  bandage  of  forearm,  iii.  787 
Cream,  Moynihan's,  as  antiseptic,  i.  72 
Creolin,  i.  66 

Creosote  as  antiseptic,  i.  66 
Crepe  paper  bandages,  iii.  794 
Cresol  as  antiseptic,  i.  66 
Cresol-acetone  method  of  hand  sterilization, 

i.  174 
Cretinism,  i.  322 

Crile's  anoci-association,  i.  213,  214 
method  of  laryngectomy,  ii.  235 
of  ligation  of  thyroid  gland,  ii.  393 
of  thyroidectomy,  ii.  392 
pneumatic  suit,  for  prevention  of  shock, 
i.  216 
Crippled,  reeducation  of,  iii.  615 
Crises,  gastric,  of  tabes,  excision  of  spinal 
ganglia  in,  ii.  348 
rhizotomy  for,  ii.  347 
Crochet  hooks,  removal  of,  from  tissues,  iii. 

809 
Crossed  bandage  of  eyes,  iii.   750 

of  face,  iii.  743 
Crucial  ligament,  relaxed,  i.  653 

rupture  of,  i.  653 
Crushing  vessels  in  hemorrhage,  i.  339 
Crutch  paralysis  in  fractures,  i.  527 
Cryer's  spiral  osteotome,  ii.  28 
Cryptophthalmos,  ii.  119 
Crystalline  lens,  diseases  of,  ii.  132 
dislocation  of,  ii.  134 
extraction     of,     without       incision  of 

capsule,  in  cataract,  ii.  170 
foreign  bodies  in,  ii.  133 
Cubitus  varus  of  elbow-joint,  iii.  451 
Cuii  method  of  amputation,  iii.  515 

circular,  iii.  507 
Cul-de-sac,  rectovaginal,  iii.  325 

vaginal,  iii.  324 
Cumol  method  for  sterilizing  catgut,  i.  34 
Cuneiform  osteotomy,  i.  713 
for  club-foot,  iii.  481 


Cunningham 


27 


Decapsulation 


Cunningliam's  hammock  suspensory  band- 
age of  scrotum,  iii.  78:! 
Cupping,!.  230 
Curative  inoculations,  i.   255 
Curettage  in  chronic  endometritis,  iii.  400 
in  inoperable  cancer,  i.  331 
of  cavity  of  uterus,  iii.  390 
of  ulcers,  i.  309 

perforation  of  wall  of  uterus  by,  iii.  4or 
Curvature  of  penis,  iii.  254 

of    spine,    lateral,    ii.  352.      See   also 

Scoliosis. 
of  tibia,  anterior,  iii.  46S 
Curved  needle  for  intestinal  suture,  ii.  627 

how  to  make,  iii.  S07 
Cushing's     approach     in     operations     on 
pituitary  body,  ii.  88 
method  for  suboccipital  unilateral  crani- 
otomy, ii.  38 
parallel   continuous   stitch   in   intestinal 

suture,  ii.  631 
rubber  tourniquet  tor  scalp  operations, 
ii.   20(  21 
Cushions,  air,  i.  23 

water,  i.  23 
Cutin,  i.  74 

Cut-throat  with  wound  of  air-passages,  ii. 
360 
of  blood-vessels,  ii.  360 
Cutting  cautery,  i.  80 
Cyclitis,  ii.   130 
Cyclodialysis,  ii.  157 

in  glaucoma,  ii.  161 
Cystadenoma  of  breast,  ii.  475 
Cystectomy,  iii.  225 
Cystic  degeneration  of  cervi.x,  iii.  373 
of  ovary,  iii.  431 
dilatation  of  common  bile-duct,  iii.  113 
duct,  anatomy,  iii.  105 
gall-stones  in,  iii.  116 
occlusion  of,  iii.  115 
mastitis,  chronic,  ii.  474 
Cysticercus  cutis,  i.  848 
Cystitis,  iii.  igi 
acute,  iii.  191 

gonorrheal,  iii.  192 
chronic,  iii.  192 
from  mixed  infection,  iii.  192 
gangrenous,  iii.  193 
irrigation  in,  iii.  192 
membranous,  iii.  193 
tuberculous,  iii.  193 
urinary  retention  from,  iii.   212 
Cystocele,  colpoplasty  for,  iii.  343 

White's  operation  for,  iii.  345 
Cystoma,  i.  325 
bone,  i.  470 
of  brain,  ii.  75 
of  lips,  ii.  254 
parovarian,  iii.  434 
Cystoscope,  Pilcher's  catheterizing,  iii.  1S9 
Cystoscopy,  iii.  1S7 

technic,  iii.  187 
Cystotomy,  perineal,  iii.  217 

for  hypertrophy  of  prostate,  iii.  232 
lateral,  iii.  218 
median,  iii.  219 


Cystotomy,  suprapubic,  iii.  214 

closure  of  wound,  iii.  215 

for  hypertrophy  o   prostate,   iii.  232 

for  stone  in  bladder,  iii.  203 

incision  for,  iii.  214 

local  anesthesia  in,  i.  151 

preparations  for,  iii.  214 

transverse     suprapubic     incision     for, 
iii.  217 
transperitoneal,  iii.  221 
vaginal,  for  stone  in  bladder,  iii.   203 
Cysts,  anosacral,  iii.  461 
benign,  i.  325 
bone,  i.  709 
echinococcus,  i.  326 
hydatid,  of  liver,  iii.  112 
infected,  i.  326 
Meibomian,  ii.  120 
mesenteric,  ii.  564 
of  breast,  ii.  476 
of  eyelids,  ii.  138 
of  intestinal  wall,  ii.  582 
of  intestines,  gaseous,  perforation   of    ii. 

of  jaws,  ii.  286 

of  kidney,  iii.  151 

of  lung,  echinococcus,  ii.  445 

of  ma,xillary  antrum,  ii.  197 

of  neck,  ii.  372 

of  omentum,  ii.  620 

of  ovary,  dermoid,  iii.  433 

of  pancreas,  ii.  783 

of  prostate,  iii.  248 

of  spleen,  hydatid,  ii.  785 

of  stomach,  ii.  703 

of  teeth,  ii.  2S0 

of  tongue,  ii.  292 

of  umbUicus,  ii.  537 

of  urachus,  ii.  538 

of  urethra,  iii.  272 

of  vagina,  iii.  356 

of  vulva,  iii.  328 

retroper  toneal,  ii.  564 

sebaceous,  i.  845 

of  face,  ii.  115 

of   scalp,   ii.  24 
Czerny's  mucosa  suture  of  intestine,  ii.  635 


Dacryocystitis,  ii.  136 
Dakin-Carrel   instillation    method   for   in- 
fected wounds,  i.  242 
Dakin's  antiseptic,  i.  60 

for  infected  wounds,  i.   242 

formula,  i.  61 

volumetric  analysis,  i.  61 
Dandruff,  i.  844 
Davis'  method  of  restoring  end  of  finger,  iii. 

operation  for  ectropion,  ii.  146 
Davison's  methods  of  holding  bone  trans- 
plant in  place,  i.  512,  517 
Dawbarn's  method  for  siphon  drainage  of 

bladder,  iii.  223 
Deafness,  advanced  tympanic,  ii.  310 
Decapsulation  of  kidney,  iii,  1 70 
for  nephritis,  iii.  146 


Decompression 


28 


Disarticulation 


Decompression  corset  in  scoliosis,  ii.  354 

in  brain  tumors,  ii.  78 

in  epilepsy,  ii.  loi 

of  brain,  ii.  54 
Decortication  of  lung  in  chronic  non-tuber- 
culous empyema,  ii.  410 
Decubitus,  ventral,  for  amputation,  iii.  500 
Defects,  congenital,  of  auricle,  ii.  303 
Defibrinated  blood  in  hemorrhage,  i.  343 
Deflections  of  nasal  septum,  ii.  188 
Deforming  osteochondritis  of  hip-joint  in 

children,  iii.  463 
Deformity  after  fracture  of  lower  extremity 
of  humerus,  i.  S7i 

of  arm,  congenital,  iii.  457 

of  jaws,  ii.  280 

of  lower  jaw  with  defective  occlusion,  ii. 
283 

of  skull,  ii.  42 

silver-fork,  in  CoUes'  fracture,  i.  575 
Degeneration,  cystic,  of  ovary,  iii.  431 

of  muscles,  i.   792 
ischemic,  i.   793 

polycystic,  of  kidney,  iii.  151 
Deguise's  method  of  closing  parotid  sali- 
vary fistula,  ii.  377 
Dehydration,  sterilization  by,  i.  30 
De  Keating-Hart's  method  of  fulguration, 

iii.  699 
Delatour's   apparatus   for   collecting   feces 

after  colostomy,  ii.  69s 
Delayed  union  in  fractures,  i.  527 
Delbet's  paste  for  wound  dressings,  iii.  807 
Delirium,  traumatic,  in  fractures,  i.  527 

tremens,  iii.  812 

with  fractures,  i.  526 
Deltoid  muscle,  paralysis  of,  i.  79s 
Del  Valle's  operation  for  varicocele,  iii.  318 
Dench's    operation    in    middle-ear   disease 

with  labyrinthine  involvement,  ii.  321 
Denker's  operation  through  upper  jaw  to 

reach  nasopharynx,  i.  724 
Denudation  operation  in  vesicovaginal  fis- 
tula, iii.  346 
Denuded  bones,  i.  467 
Depressing  cataract,  ii.  172 
Dermatitis  exfoliativa,  i.  826 

from  :r-rays,  iii.   720 

herpetiformis,  i.  827 

infectious  eczematoid,  i.  826 

venenata,  i.  825 
Dermatol  as  antiseptic,  i.  71 
Dermo-epidermic  skin-grafting,  iii.  644 
Dermoid  cysts  of  breast,  ii.  477 
of  kidney,  iii.  151 
of  ovary,  iii.  433 

tumors  of  scalp,  ii.   24 
Desault's  bandage  of  shoulder,  iii.  75s 
deSchweinitz's  rules  for  enucleation  of  eye, 

ii.  130    . 
Desmarres'  operation  for  pterygium,  ii.   150 
Desiccated  vaccine  in  hydrophobia,  i.  273 
Detachment  of  retina,  ii.  134 
DeWecker's   operation   for  staphyloma,  ii. 

Dextrin  dressings,  i.  56 

Diabetes  as  factor  in  operation,  i.   181 


Diabetes,  soft  eyeball  in,  ii.   132 
Diabetic  gangrene,  i.  318 
iritis,  ii.   129 
retinitis,  ii.  134 
ulcers,  i.  314 
Diaper  bandage  of  pelvis,  iii.  782 
Diaphragm,  hernia  of,  treatment,  ii.  470 
thoracic  exposure  of,  ii.  467 
tumors  of,  treatment,  ii.  470 
wounds  of,  ii.  398,  536 
Diaphragmatic  hernia,  iii.  50 

pleura,  ii.  399 
Diaphragmotomy,     subpleural,     for     sub- 
phrenic abscess,  ii.  554,  555 
Dichloramin-T  as  antiseptic,  i.  64 
in  burns,  i.  65,  821 
in  infected  wounds,  i.  247 
in  peritonitis,  ii.  551 
Dickinson's  rubber  retractor,  ii.  515 
Dieffenbach's  median  operation  for  excision 
of  upper  jaw,  i.  722 
operation  for  ectropion,  ii.  146 
Diffuse  inflammation  of  external  auditory 

canal,  ii.  304 
Dilatation,    continuous,   in   urethral   stric- 
ture, iii.   290 
gradual,  of  urethral  stricture,  iii.   288 
of  colon,  acquired,  ii.  614 

chronic  intestinal  obstruction  from,  ii. 

610 
congenital,  ii.  614 
of  common  bile-duct,  cystic,  iii.  113 
of  esophagus,  ii.  438 
of  sphincter  ani,  iii.  60 
of  stomach,  ii.  713 
acute,  ii.  615,  714 
chronic  atonic,  ii.  713 
gastroplication  in,  ii.  714 
postoperative,  ii.  615 
of  uterine  canal,  iii.  398 
rapid,  in  stricture  of  urethra,  iii.   290 
Dimethylacetal  anesthesia,  i.  118 
Dionin  in  diseases  of  cornea,  ii.  124 

in  eye  diseases,  ii.  118 
Diphtheria,  ii.  207 

bacillus,  wound  infection  with,  i.   262 
Diphtheric  conjunctivitis,  ii.  123 
DiplobaciUus  conjunctivitis,  ii.  122 
Direct  laryngoscopy,  ii.  240 
Directors,  i.  75 
Disarticulation,  iii.  498,  501 

of  all  toes  at  metatarsophalangeal  joints, 
iii-  575 
with  metatarsal  bones,  iii.  580 
of  ankle,  iii.  583 
of  elbow,  iii.  557 

by  long  posterior  and  short  anterior 

flaps,  iii.  558 
by  oblique  circular  method,  iii.  559 
by  posterior  ellipse,  iii.  559 
method  of  making  flaps  for,  iii.  ss^ 
of  end  phalanges  of  toes,  iii.  572 
of    fifth    metacarpal    bone    with    little 

finger,  iii.  552 
of  fingers,  iii.  544 

at  first  interphalangeal  joint,  iii.  546 
at  metacarpophalangeal  joint,  iii.  546 


Disarticulation 


29 


Dislocations 


Disarticulation  of  lingers  with  metacarpal 
bones,  iii.  552 
with    second    and    third    metacarpal 
bones,  iii.  552 
third  and  fourth  metacarpal  bones, 
iii-  553 
with  third,  fourth  and  fifth  metacarpal 
bones,  iii.  553 
or  fourth  metacarpal  bones,  iii.  552 
of  first  metacarpal  bone  with  thumb,  iii. 

of   foot   at   ankle,    with  preservation  of 
posterior    part    of   os   calcis,    iii. 
S8S 
with  removal  of  malleoli,  iii.  584 
anterior  to  astragalus  and  os  calcis,  iii. 

580 
heel-flap  method,  iii.  583 
subastragaloid,  iii.  582 
of    great     toe    at    metatarsophalangeal 

joint,  iii.  573 
of   hip,   iii.  601 

by  anterior  racket  incision,  iii.  604 
control  of  hemorrhage  in,  iii.  602 
by  acupressure,  iii.  604 
by  long  pins  and  elastic  tourni- 
quet, iii.  602 
by  preliminary  ligation  of  vessels, 

iii.  603 
by  tourniquet  transfixion  of  thigh, 
iii.  603 
local  anesthesia  in,  i.  146 
of   index-finger  at  metacarpophalangeal 

joint,  iii.  549 
of  knee,  iii.  591 

by  bilateral  flaps,  iii.  592 
by  oblique  incision,  iii.  593 
by  single  long  flap,  iii.  593 
by  unequal  anteroposterior  flaps,   iii. 
593 
of  last  phalanx  of  fingers,  iii.  545 
of  little  finger  at  metacarpophalangeal, 

iii-  550 
of  metacarpal  bones,  iii.  553 

at    carpometacarpal    joint,    iii.  554 
with  fingers,  iii.  552 
of  more  than  two  toes  at  metatarsopha- 
langeal joints,  iii.  574 
of  second   and   third   metacarpal   bones 
with  fingers,  iii.  552 
metacarpal  bone  with  first  finger,  iii. 

552 
third    and    fourth    metacarpal    bones 
with  fingers,  iii.  553 
of  shoulder,  iii.  562 

by  anterior  racket  incision,  iii.  566 
by  external  flap,  iii.  567 

control  of  hemorrhage  in,  iii.  563 
racket  incision,  iii.  567 
motor  stump  in,  iii.  565 
stump  in,  iii.  565 
of   smaller  toes  at  metatarsophalangeal 

joint,  iii.  574 
of    third,    fourth    and   fifth   metacarpal 
bones  with  fingers,  iii.  553 
or     fourth     metacarpal     bones     with 
fingers,  iii.  552 


Disarticulation  of    thumb    at   metacarpo- 
phalangeal joint,  iii.  548 
of  two  or  more  adjacent  toes  with  their 

metatarsal    bones,    iii.  579 
of    wrist,    iii.  554 

with  double  flaps,  iii.  555 

with  lateral  flap,  iii.  55s 

with  palmar  flap,  iii.  554 
Dishes,  i.  81,  84 
Disk,  choked,  ii.  135 
Dislocations,  i.  6io 
after-treatment,  i.  6ii 
blood-vessel  injuries  in,  i.  611 
complications,  i.  611 
compound,  i.  612 
congenital,   i.  613.     See  also  CoiigenUal 

dislocations. 
distortion  following,  i.  613 
doubtful  reductions,  i.  611 
edema  in,  i.  612 
fatal  results  in,  i.  612 
fracture,  i.  521,  611 
habitual,  i.  612 
in  newborn,  iii.  696 
infection  in,  i.  612 
nerve  injuries  in,  i.  611 
obstacles  to  reduction,  i.   610 
of  ankle,  i.  649 

congenital,  i.  618 
of  carpometacarpal  joints,  i.  639 
of  carpus,  i.  638 

of  individual  bones,  i.  639 
of  cartilages  of  joints,  i.  652 
of  clavicle,  i.  623 

backward,  of  acromial  end,  i.  625 
of  sternal  end,  i.  624 

forward,  of  sternal  end,  i.  623 

simultaneous,  of  both  ends,  i.  625 

subacromial,  i.  625 

subcoracoid,  i.  625 

upward,  of  acromial  end,  i.  624 
of  sternal  end,  i.  624 
of  costal  cartilages,  i.  623 
of  crystalline  lens,  ii.   134 
of  elbow,  i.  635.     See  also  Dislocalions 

of  forcarin. 
of  ensiform  process,  i.  549 
of  fibula,  i.  649 
of  fingers,  i.  639 
of  forearm,  i.  635 

anteroposterior,  i.  636 

backward,  i.  635 

complete  outward,  i.  636 

complications,  i.  637 

congenital,  i.  61S 

forward,  i.  636 

incomplete  inward,  i.  635 
outward,  i.  636 

lateral,  old,  i.  638 

old  unreduced,  i.  637 

pathologic,  i.  638 

posterior,  old,  i.  637 

transverse,  i.  636 
of  great  toe,  i.  649 
of  hip,  i.  640 

backward,  i.  641 

Bigelow's  reduction,  i.  641 


Dislocations 


30 


Dorsum 


Dislocations  of  hip,  baclcward,   Stimson's 
reduction,  i.  641 
bone  grafts  in,  i.  783 
complications,  i.  645 
downward  and  inward,  i.  643 

on  ischium,  i.  645 
everted  dorsal,  i.  643 
forward,  i.  645 
fractures  of  neck  of  femur  in,  i.  646 

of  shaft  of  femur  in,  i.  646 
habitual,  i.  646 
old  unreduced,  i.  646 

excision  of  head  of  femur  in,  i.  647 
osteotomy  of  neck  of  femur  in,  i.  647 
perineal,  i.  644 
spontaneous,  iii.  462 
through  floor  of  acetabulum,  i.  645 
uncomplicated,  after-treatment,  i.  645 
upward,  i.  645 
of  knee,  i.  647 
backward,  i.  648 
congenital,  i.  617,  648 
forward,  i.  647 
lateral,  i.   648 
rotary,  i.  648 
of  lower  extremities,  iii.  462 
jaw,  i.  618 

backward,  i.  619 
forward,  618 
old  irreducible,  i.  619 
outward,  i.  619 
upward,  i.  619 
of  manubrium,  i.  549 
of  mediocarpal  joint,  backward,  i.  638 

forward,  i.  638 
of  metatarsus,  i.  649 
of  patella,  i.  648 
congenital,  i.  618 
habitual,  bone  grafts  in,  i.  787 
of  penis,  iii.   250 
of  phalanges,  i.  649 
of  proximal  phalanges  of  fingers,  i.  639 

phalanx  of  thumb,  i.  639 
of  radius,  backward,  i.  637 
congenital,  i.  618 
forward,  i.  637 
old,  i.  638 
outward,  i.  637 
of  ribs,  i.  623 

from  vertebrae,  i.  623 
of  semilunar  cartilage  of  knee,  i.  652 
of  shoulder,  i.  626 

after-treatment,  i.  630 
anterior,  i.  626 

adduction  in,  i.  627 

after-treatment,  i.  630 

continuous   right-angle   traction   in, 

i.  629 
downward  and  outward  traction  in, 

i.  628 
foot-in-axilla    reduction,    i.  628 
fulcrum  method  in,  i.  629 
obstacles  to  reduction,  i.  629 
old,  i.  630 

outward  rotation  in,  i.  627 
perpendicular  traction  in,  i.  629 
reduction,  natural,  i.  626 


Dislocations  of  shoulder,  complicating  in- 
juries, i.  631 
compound,  i.  632 
congenital,  i.  618,  634 
downward,  i.  630 
erect,  i.  630 

fracture  of  anatomic  neck  of  humerus 
with,  i.  631 
of  scapula  with,  i.  632 
of  shaft  of  humerus  with,  i.  631 
habitual,  i.  632 
old  unreduced,  i.  634 
paralytic  i.  634 
penetration  of  chest  wall  in,  by  head  of 

humerus,  i.  632 
posterior,  i.  630 
ruptures  of  muscles  and   tendons  in 

i.  631 
subglenoid,  i.  630 
upward,  i.  630 
of  tarsus,  i.  649 
of  testicles,  iii.  307 
of  ulna,  backward,  i.  636 
forward,  i.  637 
inward,  i.  637 
of  ulnar  nerve,  i.  897 
of  vertebrae,  i.  620 

between  atlas  and  axis,  i.  622 
between  occiput  and  atlas,  i.  622 
bilateral,  i.  621 
complete,  i.  620 
dorsal,  i.  622 
forward,  i.  621 
from  ribs,  i.  623 
irreducible,  i.  622 
lower  six  cervical,  i.  622 
lumbar,  i.  622 
of  wrist,  i,  638 
backward,  i.  638 
congenital,  i.  618 
forward,  i.  638 
lateral,  i.  638 
old  unreduced,  i.  612 
operative  treatment,  i.  611 
recurrent,  i.  612 
reduction,  i.  610 

anesthesia  in,  i.  610 
rupture  of  muscles  in,  i.  612 
spontaneous,  i.  613 
Displacements  of  uterus,  iii.  376 
Dissecting  aneurism,  i.  380 

forceps,  i.  75 
Distortions  following  wounds,  burns,   and 

ulcerations,  iii.  693 
Diverticula,  intestinal,  ii.  603 
of  bladder,  iii.  206 
of  esophagus,  ii.  438 
extirpation  of,  ii.  439 
Diverticulum  of  Vater,  iii.  106 
Divulsion,  continuous,  in  fractures,  i.  496 
Dodd's  non-adherent  dressing,  i.   220 
Dorrance's  incision  in  felon,  iii.  442 
Dorsal  incision  of  prepuce,  iii.   257 
tendon  sheaths,  infections  of,  iii.  448 
vertebrae,  dislocations  of,  i.  622 
Dorsalis  pedis  artery,  ligation  of,  i.  443 
Dorsum  of  penis,  iii.   248 


Double 


31 


Ear 


Double  vagina,  iii.  357 

Douche-pan,  i.  24 

Dowd's  operation  for  femoral  hernia,  iii.  47 

Doyen's  burr,  ii.  27,  29 

hand  saw  for  linear  Ijone  incisions,  ii.  30 
motor  bone  saw,  i.  691 
Drainage  in  abdominal  operations,  ii.  524 
in  abscess,  i.  252 
in  amputation,  iii.  513 
in  peritonitis,  ii.  547,  549 
lymphatic,  i.  463 
materials,  i.  45 
of  bladder,  perineal,  iii.   222 

permanent,  iii.  221 

suprapubic,  iii.  221 

urethral,  iii.  222 
of  ma.xillary  antrum,  ii.  195 
of  pancreas,  ii.  780 
of  wounds,  i.  204 
subcutaneous,  in  ascites,  ii.  559 
suction,  of  bladder,  iii.  222 
tubes,  i.  44,  45 

glass,  i.  46 

rubber,  i.  45 

self-retaining,  i.  46 

Vance's,  i.  47 
vesicovaginal,  iii.  221 
Drains,  cigarette,  i.  47,  48 
gauze,  i.  47 
non-absorbent,  i.  47 
wick,  i.  47 
Dressings,  i.  205 

adhesive  plaster,  iii.  8r2 

asbestos  absorbent  wool,  i.  42 

cement,  i.  56 

charcoal,  i.  42 

coal-ash,  i.  42 

dextrin,  i.  56 

flax,  i.  41 

Florida  moss,  i.  42 

for  abscess,  i.  252 

for  carbuncle,  i.  253 

for  ulcers,  i.  308 

gauze,  i.  39.     See  also  Gauze  dressings. 

glue,  i.  56 

gum  mixtures  for,  i.  57 

Indian  hemp,  i.  42 

lamb's  wool,  i.,  42 

magnesite,  i.  S7 

materials  for,  i.  39 

non-adherent,  i.  220 

oakum,  i.  41 

paper  wool,  i.  42 

peat,  i.  42 

sawdust,  i.  42 

subsequent,  i.  211 

tow,"  i.  41 

turf-moss,  i.  42 

wood  fiber,  i.  42 

wadding,  i.  42 
zinc-gelatin,  in  varicose  ulcers,  i.  310 
Drill,  bone,  brace  for,  ii.  29 
Drop,  wrist-,  iii.  452 
Drop-finger,  iii.  455 
Drop-foot,  i.  898 

infantile  paralysis  with,  silk  ligaments  in, 

i.  802 


Drowning,  resuscitation  in,  iii.  733 
Drum,  ear,  ii.  299.     See  Tympanic  mem- 
brane. 
Dry  air  sterilization  of  rubber  gloves,  i.  52 
gangrene,  i.  316 
heat  method  for  catgut,  i.  36 
laryngitis,  ii.   222 
skin,  i.  844 
Duboisin  sulphate  as  mydriatic,  ii.  118 
Dubose's  double  sliding  flap  operation  for 

umbilical  hernia,  iii.  43 
Duct,  common  bile.     See  Common  duct. 
hepatic,  anatomy,  iii.   105 
incision  of,  iii.  129 
cystic,  anatomy,  iii.  105 
of  Skene,  iii.  324 
of  Wirsung,  iii.  106 
thoracic.     See  Thoracic  duel. 
Dunham's  method  of  transplanting  cheek 

flap  with  temporal  artery,  iii.  660 
Duodenal  fistula,  ii.  582 
hernia,  iii.  50 
lavage,  ii.  701 
region,  peritonitis  of,  ii.  557 
ulcer,  ii.  576 

gastrojejunostomy  in,  ii.  578 

indications  for  operation  in,  ii.  577 

intermittency  in,  ii.  577 

jejunostomy  in,  ii.  578 

operative  treatment,  ii.  577 

perforating,  ii.  579 

permanent  occlusion  of  pyloris  for,  ii. 

pyloroplasty  in,  ii.  578,  740 
reconstruction  operation  after,  ii.  775 
Duodenostomy  in  corrosive  esophagitis,  ii. 

432 
Duodenum,  anatomy,  ii.  621 
exposure  of,  route  for,  ii.  780 
freeing,  for  pyloroplasty,  ii.  739 
occlusion  of,  ii.  615 

ulcer  of,  reconstruction  operation  after,  ii. 
77S 
Dupuytren's  contracture,  iii.  454 
splint  in  Pott's  fracture,  i.  606 
Dura  mater,  anatomy,  ii.  43 

defects  of,  fascia-flaps  for,  iii.  647 

fat-graft  for,  iii.  648 
venous  sinuses  of,  thrombosis  of,  ii.  70 

infective,  ii.  71 
wounds  of,  ii.  61 
Dwarfism,  i.  322 
Dysentery,  tropical,  ii.  570 
Dysmenorrhea,  iii.  394 

abdominal  exercises  for,  iii.  396 
atropin  in,  iii.  395 
gradual  dilatation  in,  iii.  395 
pessary  in,  iii.  395 
resection  of  muscle  of  os  in,  iii.  396 
of  spermatic  nerve  ple.xus  for,  iii.  396 
Dyspeptic  ulcers  of  tongue,  ii.  289 
Dyspnea  after  operation  in  harelip,  ii.  274 
thymic,  ii.  395 

Ear,  ii.  299 

anatomy  of,  ii.  299 
bandage  of,  iii.  750 


Ear 


32 


Elongated 


Ear,  bones  of,  ii.  299 

cauliflower,  ii.  303 

drum,  ii.  299.     See  Tympanic  membrane. 

e.\ternal.     See  Auricle. 

middle.     See  also  Middle  ear. 

operations  on,  by  local  anesthesia,  i.   143 

ossicles  of,  ii.  299 

postmeatal  triangle  of,  ii.  300 

running,  ii.  310 
Ecchymosis  of  eyelids,  ii.  121 
Echinococcus  cysts,  i.  326 
of  abdominal  wall,  ii.  538 
of  lung,  ii.  445 
of  neck,  ii.  372 
Eck's  fistula,  i.  458 

in  ascites,  ii.  561 
Economics  ef  surgical  treatment,  iii.  795 
Ecraseur,  i.  79 
Ecthyma,  i.  829 
Ectopic  pregnancy,  iii.  435 
dead  fetus  in,  iii.  437 
rupture  of  tube  in,  iii.  435 
transplantation     of,     from    Fallopian 

tube  to  uterus,  iii.  437 
with  fetus  growing  in  abdomen,  iii.  436 
Ectropion,  ii.  119,  120;  iii.  369 

of  lower  lip,  plastic  operation  for,  iii.  654 

operations  for,  ii.  144 
Eczema,  i.  830 

acute,  i.  831 

erythematous,  i.  831 

bichlorid,  i.  833 

chronic  dry,  i.  831 
radium  in,  iii.  713 

in  children,  i.  833 

local  treatment,  i.  831 

of  anus,  i.  832 

of  conjunctiva,  ii.  123 

of  cornea,  ii.  125 

of  external  auditory  canal,  ii.  304 

of  eyelids,  i.  832 

of  face,  erythematous,  i.  832 

of  hands,  i.  833 

of  legs,  i.  832 

of  lips,  i.  832 

of  nipples,  ii.  473 

of  palms  and  soles,  hyperkeratotic,  i.  833 

of  .scalp,  i.  832 

of  scrotum,  i.  832 

of  vulva,  i.  832 

purulent,  i.  832 

vaccines  in,  i.  832 

vesicular,  i.  831 

with  varicose  veins,  i.  448 

a;-rays  in,  iii.  704 
Eczematoid   dermatitis,   infectious,    i.  826 
Eczematous  ulcers,  i.  314 
Edema,     fat-grafts     to     prevent,     iii.  648 

in  dislocations,  i.  612 

in  fractures,  i.  524 

of  glottis,  ii.  221 

of  hands,  iii.  450 

of  optic  nerve,  intra-ocular,  ii.  135 

of  papilla,  engorgement,  ii.  13s 

of  scrotum,  iii.  302 
Edematous  ulcers,  i.  314 
Efferent  nerves,  i.  861 


Effusion,  noninfective  meningeal,  ii.  68 
Ehrenfried's     method     of     correction     for 

club-foot,  iii.  471 
Ehrlich's  "606."     See  Saharsan. 

neosalvarsan,  i.  294 
Ejaculatory  ducts,  iii.  249 
Elastic  extension  in  fractures,  i.  495 

ligature  for  fistula  in  ano,  iii.  64 
Elbow,  ankylosis  of,  arthroplasty  for,  i.   762 

arthrotomy  of,  iii.  451 

bandage  of,  mobilizing,  iii.  759 

cubitus  valgus  of,  iii.  451 
varus  of,  iii.  451 

disarticulation  at,  iii.  557 

by  oblique  circular  method,  iii.  559 

by  posterior  ellipse,  iii.  559 

by  short  anterior  and  long  posterior 

flaps,  iii.  558 
method  of  making  flaps  for,   iii.  ss8 

dislocations  of  i.  635.     See  also  Disloca- 
tions of  forearm. 

excision  of,  i.  742.     See  also  Excision  of 
elbow. 

fractures  of,  i.  563 

sprains  of,  i.  652 

tuberculosis  of,  i.  679 
Elbrecht's  apparatus  for  proctoclysis,  iii.  S7 
Electric  burns,  iii.   720 

currents,  injuries  from,  iii.  716 

light  treatment  of  infected  wounds,  i.  241 

motor  for  bone-grafting,  i.  691 

reaction  of  motor  areas  of  brain,  testing 
for,  ii.  SI 

shock,  iii.  716 

artificial  respiration  in,  iii.  717 
intratracheal  insufflation  in,  iii.  719 
rescue  of  victim  after,  iii.  716 
Electricity  as  hemostatic,  i.  339 

in  aneurism,  i.  381 

in  chronic  inflammation,  i.  25 

therapeutic,  iii.  699 
Electrocautery,  i.  80,  83 

in  stricture  of  esophagus,  ii.  438 
Electrode  for   testing  electric   reaction   of 

motor  areas  and  nerves,  ii.  51 
Electrolysis    for    dilatation    of    esophageal 
stricture,  ii.  438 

in  aneurism,  i.  382 

in  angioma,  i.  453 
Elephantiasis,  i.  462 

fibrolysin  in,  i.  464 

nervorum  of  scalp,  ii.  24 

of  scrotum,  i.  464;  iii.  302 

of  vulva,  iii.  329 

treatment,  i.  463 
Elevated-head    position    after    abdominal 

operations,  ii.  529 
Elevation  in  hemorrhage,  i.  341 

of  limbs  for  varicose  veins,  i.  448 

of  part  in  inflammation,  i.   237 

of  periosteum,  i.  688 
Elevator  for  tooth  extraction,  ii.   279 
Eliminants,  gas,  i.  226 
Elliot's    method    of    trephining    sclera    in 

glaucoma,  ii.  162 
Elliptical  method  of  amputation,  iii.  521 
Elongated  mesocolon,  ii.  616 


Elongation 


33 


Enuresis 


Elongation  of  patellar  ligament,  iii.  466 

of  scrotum,  iii.  302 

of  uvula,  ii.  255 
Elsberg  and  Beer's  method  of  laminectomy 
in  medullary  tumors  of  spinal  cord,  ii. 

•  341 

apparatus  for  insufflation  of  lungs,  ii.  448 

extrusion  treatment  of  medullary  tumors 
of  spinal  cord,  ii.  342 

incision  for  frontal  approach  to  pituitary 
body,  ii.  87 
Embalming  method  for  infected  wounds,  iii. 

812  ^ 
Embolic  gangrene,  i.  320 
Embolism,  i.  454 

air,  i.  447;  ii.  430 

axillary,  i.  435 

fat,  i.  456 

from  paraffin  prosthesis,  iii.  691 
prevention,  iii.  692 

gas,  from  artificial  pneumothorax,  ii.  417 

of  common  iliac  artery,  i.  455 

of  femoral  artery,  i.  455 

of  pulmonary  artery,  i.  457 

treatment,  i.  455 
Emergency  instruments,  i.  87 

splints,  i.  472 
Emetin  in  amebic  colitis,  ii.  570 
Eminence,  frontal,  ii.  46 
Emphysema,  ii.  400 

malignant,  i.  270 

of  neck,  ii.  361 

pulmonary  rib  resection  in,  ii.  419 

subcutaneous,  in  artificial  pneumothorax, 
"•.417. 

surgical,  in  fractures,  i.  525 

traumatic,  i.  820 
Emphysematous  gangrene,  i.  270 
Empyema,  ii.  402 

after-treatment,  ii.  404 

ambulatory  treatment,  ii.  407 

bismuth  paste  in,  ii.  412,  413 

chronic  nontuberculous,  ii.  409 

decortication  of  lung  in,  ii.  410 
removing  plastic  deposits  from  lung 
in,  ii.  410 

combined  operations  in,  ii.  411 

delayed  healing  in,  ii.  404 

Estlander's  rib  resection  in,  ii.  410 

internal  thoracotomy  for,  ii.  403 

muscle  implantation  in,  ii.  411 

of  frontal  sinuses,  ii.  199 

of  maxillary  antrum,  ii.  195 

of  pericardium,  ii.  423 

operation  for,  ii.  403 

without  rib  resection,  ii.  408 

promoting  expansion  of  collapsed  lung 
after  operation,  ii.  405 

rib  trephining  for,  ii.  407 

Schede's  operation  in,  ii.  411 

securing  increase  ofintrapulmonary 
pressure  after  operation,  ii.  405 

simple  intercostal  thoracotomy  in,  ii.  403 

suction  in,  after  operation,  ii.  406 

thoracoplasty  in,  ii.  410 

tuberculous,  ii.  413 

valve  device  in,  ii.  406 


Emulsion  iodoform  as  antiseptic,  i.  69 
Encephalitis,  acute,  ii.  73 
Encephalocele,  ii.  92 

operation  on,  ii.  93 
Encephalocystocele,  ii.  93 
Enchondroma  of  bones,  i.  709 

of  jaws,  ii.   286 
Endameba  buccalis,  ii.  277 
End-bearing  stumps  for  prosthetic  appa- 
ratus, iii.  614 
Endo-aneurismorrhaphy,  i.  385 
Endolaryngeal  operations,  local  anesthesia 

in,  ii.  218 
Endometritis,   acute,   iii.  369 
gonorrheal,  iii.  369 

chronic,  iii.  369 

curettage  in,  iii.  400 
proliferative,  iii.  370 

hemorrhagic,  iii.  370 

senile,  iii.  370 
Endonasal  operations  on  lacrimal  sac,   ii. 

Endothelioma,  i.  324 

of  brain,  ii.  75 
Endotracheal     insufflation     with     nitrous- 

oxid  o.x>'gen,  i.   122 
End-to-end  anastomosis  of  arteries,  i.  374 
of  intestines,  invagination  method,  ii. 
654 
of    segments   of   unequal    size, 
ii.  656 
simple,  ii.  647 

with  mattress  sutures,  ii.  651 
End-to-side  intestinal  anastomosis,  ii.  665 
Enemata,  ii.  620 
Engorgement    edema    of  optic  papilla,  ii. 

13s 
Enlarged  thymus,  ii.  39s 
Ensiform  process,  dislocations  of,  i.  549 
Enterectomy,  partial,  ii.  636 
Enteric  feeding,  ii.  701 
Enteroclysis,  i.  344 

neosalvarsan  by,  in  syphilis,  i.  297 
salvarsan  by,  in  syphilis,  i.  297 
Entero-enterostomy,  ii.     646.     See  also  In- 
testinal anastomosis. 
Enteroptosis,  ii.  616 
Enterorrhaphy,  ii.  628.     See  also  Intestinal 

suture. 
Enterostomy,  ii.  573,  683 

for  acute  intestinal  obstruction,  ii.  685 
purse-string  suture  in,  i.  203 
Entropion,  ii.   119,  120 
operations  for,  ii.  143 
Enucleation  of  eyeball,  ii.  121,  157 
grafting  eyeball  after,  ii.  160 
remote,    insertion    of    artificial    globe 

after,  ii.   159 
rules  for,  ii.   130 

transplantation  of  fat  into  orbit  after, 
ii.   160 
of  growths  in  thyroid  gland,  ii.  385 
of  tonsils,  ii.  213,  214 
subcutaneous,  of  varicose  veins,  i.  452 
Enuresis,  iii.  207 

Cathelin's  epidural  injection  treatment 
iii.  208 


Environment 


34 


Esophagus 


Environment  as  factor  in   surgical   treat- 
ment, i.   2  2 
Ependyma,  diseases  of,  ii.  65 
Epicanthus,  ii.  119 

Epicondyles  of  liumerus,  fractures  of,  i.  568 
Epidemic  catarrlial  conjunctivitis,  ii.  122 
cerebrospinal  meningitis,  ii.  67 
carriers  in,  ii.  67 
Flexner's  treatment,  ii.  67 
intravenous    serum    treatment,    iii. 

820 
lumbar  puncture  in,  ii.  67 
Epididymis,  inflammation  of,  acute,  iii.  304 
of  opposite  side,  anastomosis  of  vas  def- 
erens to,  for  sterility,  iii.  312 
tuberculosis  of,  iii.  305 
Epididymitis,  iii.  304 

gonorrheal,  surgical  treatment,  iii.  305 
Epidural  injections  for  sacral  pains,  iii.  461 
in  pelvic  disease,  iii.  461 
sacral  anesthesia,  i.  162 
Epigastric  hernia,  iii.  46 
Epigastrium,  lipoma  of,  ii.  538 
Epilepsy,  ii.  99 

curative  effects  of  operations,  ii.  loi 
decompression  in,  ii.   loi 
focal,  ii.  loi 
from  tumors,  ii.  lor 
internal  treatment,  ii.  102 
of  spontaneous  origin,  ii.  loi 
prophylaxis,  ii.  99 

removal  of  cervical  sympathetic  ganglia 
in,  i.  899 
of;  sympathetic  ganglia  of  neck  in,  ii. 

lOI 

thymic,  ii.  395 

traumatic  causes,  removal  of,  ii.   100 
with  enlarged  thymus,  ii.  loi 
Epileptic  habit,  ii.  99 
Epiphoria,  ii.  136 

Epiphyseolysis  for  knock-knee,  iii.  468 
Epiphysis,  caries  and  necrosis  of,  filling  bone 
cavities  in,  i.   706 
loss  of,  operations  to  compensate,  i.  769 
lower,  separation,  in  fractures  of  lower 

end  of  femur,  i.  594 
separation  of,  in  fractures,  i.  524 
Episcleritis,  ii.  128 
Epispadias,  iii.  270 
Epistaxis,  ii.  184 

Epithelial  plug  in  external  auditory  canal, 
ii.  306 
tumors,  benign,  i.  324 
Epithelioma,  adamantine,  i.  709 
of  cervix,  iii.  375 
of  face,  ii.  115 

inoperable,  radium  for,  iii.  710 
of  gums,  ii.  280 
of  lower  lip,  ii.  247 

excision  of  lip  for,  ii.  252 
incomplete  operation  for,  ii.  250 
operations  for,  ii.  247-254 
resection  of  lip  for,  ii.  251 
of  skin,  x-rays  in,  iii.  705 
of  tongue,  radium  in,  iii.  712 
Epulis,  ii.  280 
Equinocavus,  iii.  482 


Equinovalgus,  iii.  482 
Equinovarus,  paralytic,  iii.  480,  484 
Equinus,  paralytic,  iii.  483 
Erasion,  i.  710 

of  joints,  i.  738 

of  knee,  i.  710,  752 
Erectile  bodies  of  penis,  sclerosis  of,  iii.  255 
Ergot  poisoning,  gangrene  from,  i.  318 
Erosions  of  cervix,  iii.  369 

rectal,  iii.  61 
Erysipelas,  i.   262 

curative  effect,  i.  264 

neonatorum,  i.  263 

of  scalp,  ii.  24 

of  scrotum,  iii.  302 

phlegmonous,  i.  262 

tincture  of  iodin  in,  i.  69 

toxins  in  inoperable  cancer,  i.  332 

treatment,  i.  263 

ultra-violet  rays  in,  i.  263 

vaccines  in,  i.  264 
Erysipeloid,  i.  264 

Erythema  induratum,   .r-rays  in,   iii.  704, 
70s  . 

intertrigo,  i.  825 

multiforme,  i.  825 
Eserin  as  miotic,  ii.  118 

in  acute  intestinal  stasis,  ii.  614 
Esmarch  bandage,  i.  56 

for  inflammation,  i.  229 

operation  for  ankylosis  of  lower  jaw,  i. 
726 
Esophagea'  bougies,  ii.  434 

forceps,  ii.  440 
Esophagectomy,  partial  cervical,  ii.  443 
Esophagismus,  ii.  442 
Esophagitis,  acute  catarrhal,  ii.  432 

chronic,  ii.  433 

corrosive,  ii.  432 

gangrenous,  ii.  433 
Esophagogastrojejunostomy ,      R  o  u  x  '  s 

method,  ii.  464. 
Esophagoplasty,  ii.  464 
Esophagoscopes,  ii.  243 
Esophagoscopy,  ii.  243 
Esophagotomy,  external  cervical,  ii.  442 

internal,   in    stricture    of  esophagus,  ii. 
438 
Esophagus,  abscess  of,  ii.  432 

anatomy,  ii.  430 

atresia  of,  ii.  433 

cancer  of,  radium  in,  iii.  712 

congenital  stenosis  of,  ii.  433 

diverticula  of,  ii.  438 
extirpation  of,  ii.  439 

fissures  of,  ii.  433 

fistula  of,  ii.  439 

foreign  bodies  in,  ii.  440 
removal,  ii.  244 

operation  for,  ii.  441 

hemorrhage  from,  ii.  432 

inflammations  of,  ii.  432 

operations  on,  local  anesthesia  for,  i.  144 

resection  of  lower  segment,  ii.  470 

rupture  of,  ii.  432 

spasm  of,  ii.  442 

stenosis  of,  cicatricial,  ii.  433 


Esophagus 


35 


Excision 


Esophagus,  stricture  of,  ii.  433.     See  also 
Slricltire  of  esophagus. 
thoracic,  resection  of,  ii.  463 
tumors  of,  ii.  445 
ulceration  of,  ii.  432 
ulcers  of,  ii.  433 
wounds  of,  ii.  360,  431 
Esser's  method  of  transplanting  cheek  flap 

with   temporal  artery,   iii.  660 
Estlander's  rib  resection  in  empyema,  ii. 

410 
Ether  anesthesia,  i.  104 
after-effects,  i.  115 
aspiration  pneumonia  in,  i.   105 
blood-pressure  in,  i.   105 
b}'  intramuscular  injections,  i.  115 
by  mouth,  iii.  807 
closed  method,  i.  106 
combined  closed  and  open  method,  i. 

108 
confined  vapor  method,  i.  no 
effects,  i.  105 
hallucinations  in,  i.  105 
hydrobromic,  i.  118 
intravenous,  i.  114 
methods,  i.  105 
methyl,  i.  118 
methylene,!.  118 
open  drop  method,  i.  107 
pharyngeal  insufHation  in,  i.  no 
primary  method,  i.  1 10 
rectal,  i.  no 

vapor,  i.  114 
vapor  method,  i.  109 
cotton-process,  iii.  S07 
effects  of,  i.  105 
for  abscesses,  i.  235 
fusil,  i.  104 
inhalers,  i.   106,  107 
pure,  iii.  807 

sulphuric,  in  peritonitis,  ii.  551 
treatment  of  infected  wounds,  i.  248 
Ether-o.wgen  anesthesia,  i.  120 
Ethmoid  sinuses,  ii.  180 
suppuration  of,  ii.  197 

operation  in,  by  orbital  route,  ii.  198 
Ethyl  bromid  anesthesia,  i.  118 
chlorid  anesthesia,  i.  117 

as  local  anesthetic,  i.   154 
chlorid-ether  sequence,  i.  119 
hydrate,  as  antiseptic,  i.  72 
morphin  hydrochlorid,  in  eye  diseases,  ii 
118 
Eucain,  as  local  anesthetic,  i.  135 
Eucalyptol,  as  antiseptic,  i.  72 
Eupad,  as  antiseptic,  i.  62 
Europhen,  as  antiseptic,  i.  70 
Eusol,  as  antiseptic,  i.  62 
Eustachian  tube,  ii.  299 

catheterization  of,  ii.  302 
patency  of,  ii.  301 
Evacuator,  Bigelow's,  for  litholapaxy,  iii. 

199 
Evaporating  lotions  for  inflammations,  i. 

237       ..     . 
Eventration  in  intestinal  gangrene,  ii.  609 
in  intussusception,  ii.  607 


Eversion  of  eyelid,  method,  ii.  116 

operation  for,  ii.   144 
of  sac  for  hydrocele,  iii.  313 
Evisceration  of  eyeball,  ii.  159 
Excision  of  ankle,  i.  753 

by  bilateral  incisions,  i.  754 

by  external  curved  incision,  i.  754 

by  transverse  external  incision,  i.  755 
of  astragalus,  i.  735,  736 
of  bones,  i.  717 
of  calcaneum,  i.  734,  736 
of  clavicle,  i.  729 
of  coccyx,  i.  732 
of  costal  cartilage  for  exposure  of  heart 

and  pericardium,  ii.  424 
of  elbow,  i.  742 

by  long  external  incision,  i.  745 

by  posterior  curved  incision,  i.  746 
median  incision,  i.  744 

by  radial  incision,  i.   743 

by  right  angular  incision,  i.  744 

for  ankylosis,  i.  745 

osteoplastic,  i.  745 

partial,  i.  745 
of  fibula,  i.  734 

of  first  metatarsophalangeal  joint,  i.  755 
of  hip,  i.  748 

by  anterior  incision,  i.  749 

by  bow  incision,  i.   749 

by  curved  incision,  i.  749 

by  right  angular  curved  incision,  i.  749 

by  straight  external  incision,  i.  748 
of  humerus,  i.  730 

of  shaft,  i.  731 

total,  i.  731 
of  infected  veins  in  puerperal  pyemia,  iii. 

371 
of  joints,  i.  738 
of  knee,  i.  749 

operation,  i.  750 

without  opening  joint,  i.  751 
of  lacrimal  sac,  ii.  1 78 
of  lower  jaw,  i.  724 

lip  for  epithelioma,  ii.  252 
of  metacarpal  bones,  i.  731 
of  metatarsal  bones,  i.  737 
of  nontoxic  goiter,  ii.  385 

control  of  hemorrhage,  ii.  388 
results,  ii.  389 
tracheotomy  with,  ii.  389 
of  patella,  i.  732 
of  phalanges,  i.  731 
of  radius,  i.  731 

of  rectum  by  abdominal  route  for  cancer, 
iii.  80 

by  perineal  route  for  cancer,  iii.  78 

by  postrectal  route  in  cancer,  iii.  76 

by  sacral  route  for  cancer,  iii.  78 

by  two-stage  abdominosacral  operation 
in  cancer,  iii.  81-85 

by  vaginal  route  for  cancer,  iii.  80 

through  anus  for  cancer,  iii.  76 
of  scapula,  i.  730 
of  shaft  of  humerus,  i.  731 
of  short  internal  incision,  i.  745 
of  shoulder,  i.   741 

by  curved  osteoplastic  incision,  i.   742 


Excision 


36 


Extrapial 


Excision  of  siioulder,  by  deltoid  flap,  i.  742 
by  division  of  acromion  through  pos- 
terior incision,  i.   742 
by  transverse  incision,  i.  742 
through  anterior  incision,  i.  741 
through  vertical  incision,  i.  742 
of  spinal  ganglia  in  gastric  crises  of  tabes, 

"■348 
of  sternomastoid  muscle  in  torticollis,  ii. 

375 
of  tarsal  bones,  i.  734 
of  tibia,  i.  733 
of  tongue  for  carcinoma,  ii.   293 

after  division  of  lower  jaw,  ii.   297 

after-treatment,  ii.  299 

complete,  ii.  294 

instruments  for,  ii.  293 

position  of  patient,  ii.  293 

preparations,  ii.  293 

through    submaxillary    incision,    ii. 

.297 
without  preliminary  ligation  of  the 
vessels,  ii.  296 
of  ulna,  i.  731 
of  upper  jaw,  i.  717 

by  external  incision,  i.  721 
by  Langenbeck's  cheek-flap   opera- 
tion, i.  722 
by  mediolateral  incision,  i.  718 
Dieffenbach's  median  operation  for, 

i.  722 
Malgaigne's  method,  i.  722 
subperiosteal,  i.  722 
of  vulva,  iii.  329 
of  whole  of  lower  jaw,  i.  725 
of  wrist,  i.  746 

by  single  dorsal  incision,  i.  747 
by  two  dorsal  incisions,  i.  746 
through  bilateral  incisions,  i.  747 
operation  in  trachoma,  ii.  151 
simultaneous,   of    both    upper   jaws,    i. 
722 
Exclusion,  intestinal,  ii.  677 

of  pylorus,  ii.  771 
Exemia,  i.  213 

Exercises,  abdominal,  for  dysmenorrhea,  iii. 
396 
in  flat-foot,  iii.  486 
Exfoliative  glossitis,  ii.   289 
Exophthalmic  goiter,  ii.  389,  390 
radium  in,  iii.  713 

removal  of  cervical  sympathetic  gan- 
glia in,  i.  899 
Exophthalmos,   extreme,  in  hyperthyroid- 
ism, ii.  391 
pulsating,  ii.  137 

in  arteriovenous  aneurism  of  cavernous 
sinus,  ii.   73 
Exostosis  bursitis,  i.  709 

of  external  auditory  canal,  ii.  304 
Expiratory  moan  in  abdominal  operations, 

iii.   6r 
Exploratory  puncture  of  kidney,  iii.  r63 
Explosive  bullets,  wounds  from,  i.   222 
Exposure  of  gall-bladder  and  bile-ducts,  iii. 

Sevan's  incision  for,  iii.  120 


E.xposure   of   gall-bladder   and   bile-ducts, 
Eocher's    oblique    subcostal    in- 
cision for,  iii.   ri9 
Mayo   Robson's   combined   vertical 

and  oblique  incision  for,  iii.  1 20 
vertical  incision  for,  iii.  121 
of  joints,  i.   738 
of  kidney,  iii.  157 

by  abdominal  route,  iii.  163 
by  combined  experitoneal  and  trans- 
peritoneal method,  iii.  163 
by  lumbar  route,  iii.  r57 
incision  for,  iii.   157 
position  for,  iii.  158 
by  subcostal  incision,  iii.  162 
retroperitoneal,  iii.   171 
of  nasopharynx,  ii.  216 
of  seminal  vesicles,  iii.  2  78 
of  ureter,  iii.  171 
at  lower  end,  iii.  172 
by     extraperitoneal     suprapubic     ap- 
proach, iii.  172 
retroperitoneal,  iii.  171 
transvaginal,  iii.  172 
Exstrophy  of  bladder,  iii.  203 

implantation  of  ureters  into  cecum  for, 

iii-  205 
Maydl's  operation  in,  iii.  204 
Extemporized  splints,  i.  474 
Extension,  continuous,  in  fractures,  i.  488 
elastic,  in  fractures,  i.  495 
nail,  in  fractures,  i.  495 
pillow,  in  fractures,  i.  493 
pneumatic,  in  fractures,  i.  494 
Extensor  proprius  haUucis,  transplantation 

of,  for  tibialis  anticus,  i.  809 
External  angular  process  of  supra-orbital 
arch,  ii.  46 
auditory   canal,   ii.    304.     See   Canal, 

external  auditory. 
ear.     See  Auricle. 
Extirpation  of  diverticula  of  esophagus, 

"•  4.39... 
of  penis,  iii.  256 

of  unopened  sac  in  hydrocele,  iii.  316 
Extracapsular  fixation  for  movable  kidney, 

iii.  168 
Extraction  of   cataract.     See   Cataract  ex- 
traction. 
of  teeth,  ii.  278 

anesthesia  for,  ii.  278 
bleeding  after,  ii.  279 
by  local  anesthesia,  i.  141 
technic,  ii.  278 
with  elevator,  ii.  279 
Extradural  abscess,  ii.  316 
hemorrhage,  ii.  55 

ligation  of  middle  meningeal  artery  in, 
ii.  56 
infections,  ii.  65 
of  otic  origin,  ii.  65 
E.xtramammary  abscess,  ii.  474 
Extraperitoneal   Cesarean  section,  iii.  408 
rupture  of  bladder,  iii.  191 
suprapubic  approach  to  ureter,  iii.  172 
Extrapial   hemorrhage   compressing  spinal 
cord,  ii.  325 


Extravasation 


37 


Face 


Extravasation  of  urine  in  urethral  injuries, 
iii.  271 
prevention,  iii.   271 
stricture  of  uretlira  witli,  iii.  299 
Extremities,    infections    of,    extension    to 
adjacent  parts,  iii.  448 
hot  wet  dressings  in,  iii.  445 
incision  in,  iii.  445 
passive  hyperemia  in,  iii.  445 
rest  in,  iii.  444 
lower,  iii.  462 

amputations  of,  iii.  570 
bandages  for,  iii.  767 
fractures  of,  iii.  462 
prosthetic  apparatus  for,  iii.  611 
motor,  iii.  611 
operations  on,  prevention  of  shoclc  in,  i. 

upper,  amputation  of,  iii.  542 
bandages  of,  iii.  753^  760 
diseases  of,  iii.  441 
operations  on,  local  anesthesia  in,  i. 

14s 
prosthetic  apparatus  for,  iii .  607 
Extrusion  of  iris,  ii.  121 

of  medullary  tumors  of  spinal  cord,  ii. 
342 
Exuberant  ulcers,  i.  314 
E.xudative  synovitis,  i.  658 
Eye,  ii.  115 

anatomy,  ii.   115 

anterior  chamber  of,  abscess  of,  ii.   12S 

drainage  of,  ii.  152 
antiseptics  for,  ii.  iiS 
bandages  of,  iii.  777 
cravat,  iii.  787 
crossed,  iii.  750 
oblique,  iii.  749 
split,   iii.  779 
diseases  of,  subconjunctival  injections  in, 
_    ii.  179 

in  general  anesthesia,  i.  99 
muscles  of,  operations  on,  ii.  174 

paralysis  of,  135 
operations  on,  ii.  138 

cocain  anesthesia  in,  ii.   118 
dressings  for,  ii.   13S 
holocain  anesthesia  in,  ii.   iiS 
instruments  for,  ii.  138,  139 
materials  for,  ii.  119,  138 
position  of  patient,  ii.  118 

of  surgeon,  ii.  119 
preparation  of  patient,  ii.  118 
of  region  for,  ii.   138 
shield  for,  ii.  138,  140 
Eyeball,  adhesion  of  eyelids  to,  operations 
for,  ii.  150 
enucleation  of,  ii.  121,  157 
grafting  eyeball  after,  ii.  160 
remote,    insertion    of    artificial    globe 

after,  ii.  159 
rules  for,  ii.   130 

transplantation  of  fat  into  orbit  after, 
ii.   160 
evisceration  of,  ii.  159 

implantation   of  artificial  globe  after, 
ii.  IS9 


Eyeball,  iron  foreign  bodies  in  interior,  re- 
moval of,  ii.  160 
old  cicatricial  contractures  of,  operations 

for,  ii.  159 
operations  on,  ii.  157 
soft,  in  diabetes,  ii.  132 
turning  forward  of  lid  margin,  away  from, 
ii.  120 

of  lid  border  toward,  ii.   120 
wounds  of,  ii.  121 
Eyelids,  absence  of,  ii.  119 

adhesion  of,  to  eyeball,  operations   for, 

ii.  150 
blastomycosis  of,  ii.  120 
cellulitis  of,  ii.  119 
cleft,  ii.  119 
cohesion  at  outer  angle,  ii.  119 

with  ball,  ii.  119 
congenital  anomalies,  ii.  119 
cysts  of,  ii.   138 
diseases  of,  119 
ecchymosis  of,  ii.  121 
eczema  of,  i.  832 
eversion  of,  method,  ii.   116 

operation  for,  ii.  144 
granular,  ii.  123 
herpes  zoster  of,  ii.   119 
inability  to  close,  ii.  120 
inflammation  of  margins,  ii.  119 
injuries  of,  ii.  120 
inversion  of,  operations  for,  ii.   143 
operations  on,  ii.  138 
ptosis  of,  ii.  119 

operations  for,  ii.  138 
resection  of,  blepharoplasty  for,  ii.  147 
seborrhea  of,  ii.  119 
tumors  of,  ii.  120 

turning  forward  of  margin  away   fiom 
ball,  ii.  120 

of  border  toward  ball,  ii.  120 
union  between  margins  cf,  ii    119 
upper,  operation  for  restoration,  ii.   142 

ptosis  of,  ii.  120;  iii.  820 
wounds  of,  ii.  121 


Face  and  scalp,  bandage  of,  iii.  786 
bandage  of,  cravat,  iii.  786 

crossed,  iii.  743 
contusions  of,  ii.  113 
cream,  greaseless,  i.  S49 
epithelioma  of,  ii.  115 
inflammations  of,  ii.  115 
injuries  and  diseases  of,  ii.  115 
inoperable  epithelioma  of,  radium  for,  iii. 

710 
moles  of,  ii.  115 
nevi  of,  ii.  115 
nevus  of,  radium  in,  iii.  714 
operations    on,    local   anesthesia    for,  -^i. 

140 
plastic  operations  on,  iii.  622 
prosthetic  apparatus  for,  iii.  686 
sebaceous  cysts  of,  ii.  115 
tumors  of,  ii.  115 
wounds  of,  ii.  115 

masks  for,  iii.  6S6 


Facial 


38 


Femur 


Facial  artery,  ligation  of,  i.  412 

sliding    flaps    with,    plastic    operation 
with,  iii.  663 
muscles,  spasm  of,  i.  888 
nerve.     See  Fifth  nerve. 
paralysis,  i.  881 

accessorius-facial  nerve  grafting  in,  i. 

885 
Ballance's  operation  in,  i.  887 
cosmetic  treatment,  iii.  687 
grafting  hypoglossal  nerve  in,  i.  882 
spinal  accessory  nerve  in,  i.  882 
hypoglossal-accessorius-f  a  c  i  a  1    nerve 

grafting  in,  i.  886 
hypoglossal-facial  nerve  grafting  in,  i. 
.883 
Fallopian  canal,  ii.  299 
tubes,  iii.  32^ 

diseases  of,  iii.  426 

preservation  of  menstrual  function 
in,  iii.  430 
divided,   operations  for  restoring,   iii. 

429 
hemorrhage  in,  iii.  430 
hernia  of,  iii.  51 

operations  on,  for  sterility,  iii.  428 
to  induce  sterility,  iii.  428 

technic,  iii.  429 
to  restore  patency,  iii.  430 . 
rupture  of,  iii.  430 
transplantation  of  ectopic  pregnancy 

from,  to  uterus,  iii.  437 
wounds  of,  iii.  430 
False  coxalgia,  iii.  465 
Family  peculiarities  as  factor  in   surgical 

treatment,  i.   18 
Farabeuf's  incision  for  amputation  of  leg, 
iii.  587 
internoplantar  flap  disarticulation  of  foot, 

iii.  582 
operation  for  excision  of  tarsal  bones,  i. 
735 
Faradism  in  hyperthyroidism,  ii.  390 
Fascia,  i.  818  , 

fixation  of  uterus  for  retroversion,  iii.  394 
for  reconstruction  of  tendon,  i.  803 
in  hemorrhage,  i.  342 
living,  as  sutures,  i.  38 
Fascia-grafting,  iii.  645 
Fat,  animal,  efl^ect  of,  on  leukocytosis,  i.  20 
embolism,  i.  456 
filling  bone-cavities  with,  i.   704 
in  hemorrhage,  i.  342 
transplantation  of,  into  orbit,  after  enu- 
cleation, ii.   160 
Fat-foot,  iii.  485 
Fat-grafting,  iii.  648 
Fauces,  operations  on,  ii.  205 
Faulty  union  in  fractures,  i.  527 
Favus,  i.  838 

Fecal  fistula,  bismuth  paste  injections  in,  i. 
'307 
closure  of,  ii.  616,  617 

temporary,  ii.  619 
permanent,  ii.  687 
temporary,  ii.  686 
with  obstruction,  closure  of,  ii.  618 


Fecal  fistula,  with  spur,  closure  of,  ii.  618 
Feces,  impacted,  chronic  intestinal  obstruc- 
tion from,  ii.  610 
incontinence  of,  iii.  60 

paraffin  prosthesis  for,  iii.  691 
Feeding  after  abdominal  operations,  ii.  534 
after  intestinal  operations,  ii.  778 
after  stomach  operations,  ii.  778 
enteric,  ii.  701 
Fee's  method  for  siphon  drainage  of  blad- 
der, iii.  223 
Feet,  artificial,  simple,  iii.  613 
cold,  iii.  495 

inward  rotation  of,  iii.  495 
swollen,  iii.  495 
Felon,  iii.  441 

abortion  of,  iii.  442 
Bier's  hyperemia  n,  iii.  442 
superficial,  iii.  443 
Female  bladder,  iii.  324 

corpus  cavernosum  urethrae,  iii.  324 
generative  organs,  iii.  322 
anatomy,  iii.  322 

operations  on,  local  anesthesia  in,  i. 
152 
sterility  in,  iii.  437 
ureters,  iii.  326 
urethra,  iii.  324 

urinary  meatus,  external,  iii.  324 
internal,  iii.  324 
Femoral  abscess  in  Pott's  disease,  ii.  337 
aneurism,  i.  398 
artery,  anatomy,  i.  434 

compression  of,  for  hemorrhage,  i.  367 
embolism  of,  i.  455 
ligation  of,  i.  431 

for  varicose  veins,  i.  453 
indications,  i.  436 
hernia,   operations   on,   local   anesthesia 
in,  i    150 
radical  cure,  operations  for,  iii.  38 
Femur,  amputation  through,  iii.  526 

excision  of  head,  in  old  unreduced  hip 

dislocations,  i.  647 
fractures  of,  i.  583 
head,  i.  583 

in  new  born,  i.  530;  iii.  696 
lesser  trochanter  of,  i.  583 
lower  end,  i.  593 

intra-articular,     i.  653 
part  o   shaft,  i.  594 
neck,    i.  583.     See    also    Fractures    of 

neck  of  femur. 
shaft,    i.  588.     See    also   Fractures    of 

shaft  of  femur. 
side  splint  for,  i.  492 
supracervical,   of  great   trochanter,   i. 

S83 
traction  in,  i.  490 
interna    condyle,  oblique  division  of,  i. 

715 
osteotomy  of,  i.   713 

in  knee  tuberculosis,  i.  677 
lower  end,  i.  714 
neck,  i.  713 

in  old  unreduced  hip  dislocations,  i. 
647 


Femur 


39 


Fingers 


Femur,  osteotomy  of,  supracondyloid,  from 
inner  side,  i    715 
from  outer  side,  i.  715 
upper  end,  i.   713 
resection  of,  i.   732 

restoring  liead  of,  by  bone  graft  of  as- 
tragalus, i.   785 
shaft  of,  amputation  of  thigh  through, 
iii.  598 
Fenestra  in  plaster-of-Paris  splinis,  i.  481 
Fenger's  operation  in  harelip,  ii.   267 
Fergus'  operation  for  ptosis  of  eyelids,  ii. 

142 
Ferguson's  bandage  for  harelip,  ii.  269 
Fermentation,  intestinal,  prevention  of,  i.  20 
Fetterolf's  file  for  deviations  of  septum,  ii 

189 
Fetus,  dead,  in  ectopic  pregnancy,  iii.  437 
growing   in    abdomen    in    ectopic    preg- 
nancy, iii.  436 
Fever  from  wounds,  i.  213 
surgical,  i.  255 

aseptic,  i.  239 
urethral,  iii    275 
Fibro-adenoma  of  breast,  ii.  475 
Fibroid  tumors  of  uterus,  panhysterectomy 
for,  iii.  420 
partial    hysterectomy    for,    iii.  41S 
radium  in,  iii.  712 
Fibrolysin  in  elephantiasis,  i.  464 
Fibroma,  i.  324 

moUuscum    of    abdominal    wall,    ii.  538 
of  bones,  i.  470 

medullary,  i.  709 
of  brain,  ii.  75 
of  jaws,  ii.  286 
of  nasopharynx,  ii.  208 
of  peritoneum,  ii.   563 
of  prostate,  iii.  246 
of  rectum,  iii.  74 
of  scalp,  ii.  24 
of  vulva,  iii.  328 
periosteal,  i.  709 
Fibromyoma  of  uterus,  iii.  372 
Fibroneuroma  of  scalp,  ii.  24 
Fibrosarcoma,  ii.  280 

of  abdominal  wall,  ii.  538 
Fibrositis,  chronic,  i.  865 
Fibrous  contracture  of  urethral  orifice,  iii. 
246 
union  in  fractures,  i.  528 
Fibula,  dislocations  of,  i.  649 
excision  of,  i.  734 
fractures  of,  i.  603 

after-treatment,  i.  608 
lower  end,  i.  606 
old,  with  vicious  union,  i.  608 
shaft,  i.  603,  606 
upper  end,  i.  603 
resection  of,  i.  734 
Fifth  nerve,  anatomy,  ii.  105 

division   of,  ,at   entrance   to   bone,   in 
neuralgia,  i.  873 
of  second  and  third  divisions  of,  in 
neuralgia,  i.  876 
division,  at  foramen  rotundum,  in 
neuralgia,  i.  872 


63 


See 


519 
19 


Fifth    nerve,  division   of  third  division'of, 
at  base  of  skull,  in  neuralgia, 
i.  874 
by  temporary  resection  of  zy- 
goma, in  neuralgia,  i.  875 
in    neuralgia,    i.  873 
injuries  and  diseases  of,  i.  881;  ii. 
intracranial  operations  on,  ii.   105 

for  neuralgia,  ii.  115 
neuralgia  of,  i.  877 
paralysis  of,  neuropathic,  i.  881. 
also  Facial  paralysis. 
Figure-of-eight  bandage,  iii.  741 
of  chest,  anterior,  iii.  766 
cravat,  iii.  787 
posterior,  iii.  766 
sutures,  i.  19S 
double,  i.  198 

for  closing  abdominal  wound,  ii 
for  closing  abdominal  wound,  ii 
Filaria  sanguinis  hominis,  elephantiasis  of 
scrotum  from,  iii.  302 
lymphatic  obstruction  from,   i.  462 
Filiform     stricture     of     bulbomembranous 
urethra,  iii.  291 
of  uretlira,  iii.  289 
treatment,  iii.  294 
Filling  materials,  i.  74 
Finger,    amputation    of    metacarpal    bone 
with,  iii.  SSI 
bandage  of,  complete,  iii.  762 
cots,  rubber,  i.  $;} 
dislocations  of,  i.  639 

of  proximal  phalanges  of,  i.  639 
drop-,  iii.  4SS 

first,  disarticulation  of  second  metacar- 
pal bone  with,  iii.  552 
gangrene  of,  prevention  of,  iii.  4S8 
hammer-,  iii.  4SS 

little,    amputation    of    fifth  me  acarpal 
bone  with,  iii.  ssi 
disarticulation    of,    at    metacarpopha- 
langeal joint,  iii.  35° 
with  fifth  metacarpal  bone,  iii.  $5- 
transplantation  of,  in  rhinoplasty,  iii. 
674 
lock-,  iii.  456 
mallet-,  iii.  455 

reconstruction  of,  plastic,  iii.  438 
schnellender,  iii.  436 
trigger-,  iii.  456 
Finger-nail,  hemorrhage  under,  iii.  437 
Finger-tip,  celluUtis  of,  iii.  443 
primary  chancre  of,  iii.  444 
subcutaneous  abscess  of,  iii.  444 
tuberculosis  of,  iii.  444 
Fingers,  amputated,  replacement  of,  iii.  649 
restoration  of,  iii.  458 
amputation  of,  iii.  542 
anesthesia  for,  iii.  S44 
through  first  phalanx,  iii.  543 
through  last  phalanx,  iii.  54s 
with  four  innermetacarpal  bones, iii.  551 
with  fourth  and  fifth  metacarpal  bones, 

iii-  551 
with  three  inner  metacarpal  bones,  ih. 

551 


Fingers 


40 


Flat-foot 


Fingers  and  hand,  glove  bandage  of,  iii.  761 
ankylosis  of,  disturbances  of  motion  due 

to,  iii.  453 
bandage  of,  complete,  iii.  762 

spiral,  iii.  760 
contractures  of  disturbances  of  motion 

due  to,  iii.  453 
deep  infections  of,  iii.  444 
disarticulation  of,  iii.  544 

at  first  interphalangeal  joint,  iii.  546 
at  metacarpophalangeal  joint,  iii.  546 
with  metacarpal  bones,  iii.  552 
with  second  and  third  metacarpal  bones, 
iii.  SS2 
third  and  fourth  metacarpal  bones, 
iii-  553 
with  third,  fourth  and  fifth  metacarpal 
bones,  iii.  553 
or  fourth  metacarpal  bones,  iii.  552 
diseases  of,  iii.  453 
extension  of,  apparatus  for  maintaining, 

iii.  455 
metacarpal  bones  of,  disarticulation  of, 

iii-  553 
neuropathic  contractions  of,  iii.  453 
supernumerary,  iii.  457 
webbed,  iii.  456 
Finney's  method  of  pyloroplasty  with  gas- 

troduodenostomy,  ii.   741 
Finochietto's  method  of  introducing  button 
for  lateral  intestinal  anastomosis,  ii.  673 
Finsen  rays  in  lupus,  iii.  707 
First  aid  to  injured,  iii.   722 
Fischer's  solution  in  mercuric  chlorid  poi- 
soning, iii.  S06 
Fish-hooks,  removal  of,  from  tissues,  iii.  809 
Fissure,  anal,  iii.  64 

chronic  intestinal  obstruction  from,  ii. 
610 
of  esophagus,  ii.  433,  439 
of  lips,  ii.  246 
of  nipple,  ii.  473 
of  Sylvius,  ii.  46 
of  vulva,  iii.  329 
Rolandic,  ii.  46 
lower  end,  ii.  46 
Fistula,  i.  304 

after  operation  in  appendicitis,  iii.  102 
biliary,  iii.   ri7 

bUe  feeding  for,  iii.  117 
saline  injections  through,  iii.  117 
chalk  paste  in,  i.  308 
duodenal,  ii.  582 
Eck's,  i.  458 

in  ascites,  ii.  561 
fecal,  closure  of,  ii.  618 
temporary,  ii.  619 
permanent,  ii.  687 
temporary,  ii.  686 
with  obstruction,  closure  of,  ii.  618 
with  spur,  closure  of,  ii.  618 
in  ano,  iii.  62 

bismuth  paste  injection  in,  iii.  64 
dissecting  out  tract,  iii.  63 
elastic  ligature  in,  iii.  64 
operation  in,  iii.  63 

without  incision,  iii.  64 


Fistula,  intestinal,  closure  of,  ii.  616 

permanent,  in  lower  small  intestine,  ii. 
68s 

temporary,  ii.  683 
milk,  ii.  474 

occlusion  treatment,  i.  304 
of  breast,  chronic,  ii.  474 
of  lacrimal  gland,  ii.  136 
of  neck,  branchial,  ii.  372 
of  umbilicus,  ii.  537 
of  urachus,  ii.  538 
of  urethra,  iii.  274 

acquired,  iii.  274 

stricture  with,  iii.  299 
parotid  salivary,  ii.  377 
rectovaginal,  iii.  67,  355 
rectovesical,  iii.  66 
renal,  iii.  154 
tuberculous,  i.  282 
ureteral,  iii.  157 
ureterovaginal,  iii.  353 

following  hysterectomy,  iii.  353 
ureterovesicovaginal  fistula,  iii.  353 
urethrorectal,  iii.  274 
urethrovaginal,  iii.  349 
vesical,  iii.  209 
vesico-intestinal,  iii.  209 
vesico-uterine,  iii.  352 
vesicovaginal,  iii.  346.     See  also  Vesico- 
vaginal fistula. 
Fixation,  direct,  of  fragments  in  fractures, 

i.  502 

for  club-foot,  iii.  469 

in  torticollis,  ii.  373 

Flannel  bandages,  i.  55 

Flap  amputation,  iii.  507 

incising  skin  and  fascia  in,  iii.  504 

suturing  skin  in,  iii.  5x3 

treatment  of  muscle  in,  iii.  513 

with  single  flap,  iii.  519 
and  circular  amputation,  combined,  iii. 

515 
Flaps,  amputation,  cutting  by  transfixion, 
iii.  507 

musculoperiosteal,  iii.  508 

of  skin,  equal,  iii.  519 

periosteal,  iii.  510 

size  of,  iii.  502 

technic  of  making,  iii.  503 

turning  back,  iii.  505 

without,  iii.  522,  523 
equal  skin  and  muscle,  amputation  by, 

iii-  517 
imperfect,  amputation  by,  iii.  522 
in  plastic  operations,  iii.  622 

preserving    circulation    in,  iii.  623 
pedunculated,    plastic    operations    with, 

iii-  '^35 
sliding,  plastic  operations  with,  iii.  630 
unequal,  amputation  by,  iii.  520 
rectangular,  amputation  by,  iii.  520 
Flap-splitting    operation    in    vesicovaginal 

fistula,  iii.  347 
Flat  sponges,  i.  44 
Flat-foot,  ii .  484 
arthrodesis  in,  i.  739 

of  astragaloscaphoid  joint  in,  iii.  4S8 


Flat-foot 


41 


Formalin-glycerin 


Flat-foot,  attitude  of  feel  in,  iii.  486 
deformity  in,  correction  of,  iii.  485 
division  of  tendo  Achillis  for,  iii.  487 
e.xercises  in,  iii.  4S6 
massage  in,  iii.  486 
operation  for,  iii.  487 
osteotomy  for,  iii.  487 
out-toeing  in,  iii.  485 
plate  for,  iii.  4S6 
preventive  treatment,  iii.  483 
rigid,  iii.  4S8 

spastic,  operation  in,  iii.  489 
Flavin  as  antiseptic,  i.  65 

for  infected  wounds,  iii.  809 
Flax  dressings,  i.  41 
Fleas,  bites  of,  i.  175 

Flexner's   treatment  of  epidemic   cerebro- 
spinal meningitis,  ii.  67 
Flexor   hallucis  longus  tendons,  tenotomy 

of,  i.  815 
Flies,  bites  of,  i.  275 
Fliess'  genital  spots,  iii.  394 
Floating  kidney,  iii.  154 

nephropexy  for,  iii.  155 
Flocculent  skin-grafts,  iii.  643  , 
Florida  moss  dressings,  i.  42 
Fluidity  of  vitreous,  ii.  134 
Focal  epilepsy,  ii.  loi 
Follicular  conjunctivitis,  ii.   123 
tonsillitis,  ii.  212 
vulvitis,  iii.  327 
Fomentations,  hot,  in  abscess,  i.   251 
Foot,  iii.  468 

amputations  of,  iii.  575 

rules  for,  iii.  575 
and  ankle,  bandage  of,  spica,  iii.  774 
covering  heel,  iii.  775 
exposing  heel,  iii.  775 
bandage  of,  triangular,  iii.  792 
callosities  of,  iii.  493 
claw-,  iii.  482 

club-,  iii.  469.     See  also  Club-foot. 
depression  of  transverse  arch,  iii.  490 
disarticulation  of,  anterior  to  astragalus 
and  OS  calcis,  iii.  580 
at    ankle-joint,    with    preservation    of 
posterior  part  of  os  calcis,  iii.  585 
with    removal    of    malleoli,    iii.  584 
heel-flap  method,  iii.  583 
mediotarsal,  iii.  580 
subastragaloid,  iii.  582 
fat-,  iii.  484,  4S5 
hollow,  iii.  489 
infections  of,  iii.  468 
metatarsal  arch  of,  weakness  of,  iii.  490 
painful,  iii.  490 
static,  iii.  490 
trench-,  i.  319 
ulcer  of,  perforating,  iii.  494 
weak-,  iii.  484 
Foramen  of  Winslow,  hernia  through,  iii. 

SI 
Forceps,  dissecting,  i.  75 
esophageal,  ii.  440 
hemostatic,  i.  77 
mouse-tooth,  i.  73 
tongue,  for  general  anesthesia,  i.  95 


Forearm,  amputation  of,  iii.  SSS 

in  lower  third  by  circular  method,  iii. 

5S6 
in  upper  two-thirds,  iii.  557 
bandage  of,  cravat  sling,  iii.  787 

triangular  sling,  iii.  790 
cineplastic  amputation  through,  iii.  527 
dislocations  of,  i.  635.  See  also  Dis- 
locations of  forearm. 
double  transplanted  flap  of,  plastic  opera- 
tion for  defect  of  cheek  with,  iii.  665 
fractures  of,  bone-grafts  in,  i.  512 

in  newborn,  i.  531 
sterilization  of,  i.  173 
wounds  of,  iii.  452 
Forehead-chin  bandage,  iii.  743 
Forehead-mouth  bandage,  iii.  744 
Forehead-neck  bandage,  iii.  744 
Foreign  bodies,  barbed,  removal  of,  iii.  S09 
in  accessory  sinuses,  ii.  188 
in  appendix,  iii.  104 
in  bladder,  iii.  203 
in  brain,  ii.  63 
in  breast,  ii.  472 
in  bronchi,  ii.  224 

pneumotomy  for,  ii.  456 
in  choroid,  ii.  130 
in  conjunctiva,  ii.  127 
in  cornea,  ii.   127 
in  crystalline  lens,  ii.  133 
in  esophagus,  ii.  440 

operations  for  removal,  ii.  244,  441 
in  external  auditory  canal,  ii.  305 
in  heart,  ii.  429 
in  larynx,  ii.  224 

removal,  ii.  244 
in  maxillary  antrum,  ii.   197 
in  nose,  ii.  188 
in  peritoneal  sac,  ii.  544 
in  pharynx,  ii.  216 
in  rectum,  iii.  66 
in  sclera,  ii.  129 
in  stomach,  ii.  714 
removal,  ii.  244 
in  tongue,  ii.  287 
in  tonsils,  ii.  216 
in  trachea,  ii.  224 
removal,  ii.  244 
in  urethra,  iii.  273 

urinary  retention  from,  iii.  211 
in  vagina,  iii.  357 
in  vitreous,  ii.  134 
in  wounds,  .%--ray  for  removal,  i.  223 
intestinal  obstruction  from,  ii.  608 
iron,  in  interior  of  eyeball,  removal  of, 

160 
wounds  with,  i.  222 
Formaldehj'd  as  antiseptic,  i.  68 
polymerized  as  antisept'c,  i.  68 
Formaldehyd-phenol   in   camphor-paraflin, 

for  infected  wounds,  iii.  805 
Formalin,  i.  68 

method  for  sterilizing  catgut,  i.  36 
Formalin-glycerin  injections  in  joint  tuber- 
culosis, i.  281,  664 
wounds,  i.  655 
solution  for  joint  infections,  iii    S05 


Formalin-iodin 


42 


Fractures 


Formalin-iodin  method  for  sterilizing  cat- 
gut, i.  36 
Formic  aldehyd  as  antiseptic,  i.  68 
Fornix,   vaginal,   iii.  325 
Four-armed  bandage  of  chin,  iii.  783 

of  head,  iii.  785 
Fourchette,  iii.  323 
Fourth-of-July  tetanus,  i.  270 
Fowler's   method  of  decortication  of  lung, 

ii.  410 
position  for  drainage,  ii.  528 
Fractional  sterilization,  i.  28 
Fractured  cartilages,  i.  653 
Fractures,  i.  474 

Albee's  bone  grafts  in,  i.  507 
ambulant  treatment,  i.  522 
apparatus  for  moving  bones  in,  i.  497 

for  traction,  i.  485 
bone  cylinders  in,  i.  507 

ferrules  in,  i.  507 

grafting    in,    i.  509.     See    also    Bone 
grafts. 
Buck's  extension  in,  i.  488 
callus,   i.  472 

Codivilla's  method  of  traction  in,  i.  486 
Colles'  compound,  i.  579 

dislocation  with,  i.  579 

dressing,  i.  576 

imperfect  reduction  in,  i.  579 

irreduc'ble  displacement  in,  i.  578 

method  of  reduction,  i.   576 

silver-fork  deformity  in,  i.  575 

sprain  with,  i.  579 

vicious  union  in,  i.  57 

with   anterior   displacement   of   lower 
fragment,  i.  579 

without  displacement,  i.  578 
complicating  dislocations,  i.  611 
complications  of,  i.  524 
compound,  i.  518.     See  also   Compound 

fractures. 
condition  of  skin,  i.  476 
continuous  divulsion  in,  i.  496 

extension  in,  i.  488 

traction  in,  i.  487 
crutch  paralysis  in,  i.  527 
deformity  from,  correction,  i.  474 
delayed  union  in,  i.  527 
delirium  tremens  with,  i.  526 
direct   fixation   of   fragments   in,    i.  502 
dislocations  complicating,  i.  521 
displaced  bones  in,  i.  524 
edema  in,  i.  524 
elastic  extension  in,  i.  495 
elevation  of  temperature  after,  i.  520 
excessive  callus  in,  i.  523 
fascia-grafts  as  wrapping  for,  iii.  645 
faulty  union  in,  i.  527 
fibrous  union  in,  i.   528 
gangrene  in,  1.525  _ 

hypostatic  congestion  of  lungs  in,  i.  525 
immediate  reduction,  i.  475 

treatment,  i.  472 
immobilization  of  fragments,  i.  476 
impaction  in,  i.  524 
in  newborn,  i.  529;  iii.  695 
in  old  persons,  i.  526 


Fractures,  intra-uterine,  i.  529 
involving  joints,  i.  518 
joint  stiffness  in,  i.  525 
lacerated  muscles  in,  i.  524 
length  of  time  for  healing,  i.  523 
lymphedema  in,  i.  524 
massage  in,  i.  500  * 

metallic  bands  in,  i.  506 

plates  in,  i.  507 
muscular  atrophy  in,  i.  525 

spasm  after,  i.  525 
nail  extension  in,  i.  495 
nailing  fragments  in,  i.  506 
necrosis  of  bones  in,  i.  525 
nerve  injury  in,  i.  524 
non-union  in,  i.  529 
obstacles  to  reduction,  i.  475 
of  acromion  process,  i.  556 
of  alveolar  process  of  jaw,  i.  543 
of  anatomical  neck  of  humerus,  i.  557 

with   shoulder  dislocation,   i.  631 
of  astragalus,  i.  608 
of  body  of  scapula,  i.  556 
of  carpus,  i.  579 
of  clavicle,  i.  550 

bandage   and   adhesive   plaster   treat- 
ment, i.  551 

bone  graft  in,  i.  511 

dressings  for,  i.  554 

in  newborn,  i.  530 

operative  treatment,  i.  555 

recumbent  treatment,  i.  550 

rest  treatment,  i.  550 

Sayre's   dressing   for,  modified,  i.  552 
of  condyles,  bone  grafts  in,  i.  515 
of  coracoid  process,  i.  556 
of  coronoid  process  of  ulna,  i.  573 
of  elbow,  i.  565 
of  external  condyle  of  humerus,  i.  568 

epicondyle  of  humerus,  i.  568 
of  femur,  i.  583 

head  of,  i.  583 

in  newborn,  i.  530;  iii.  696 

lesser  trochanter  of,  i.  583 

lower  end  of,  i.  593,  594,  653 

neck  of,  i.  583 

shaft  of,  i.  588  _ 

side  splint  for,  i.  492 

supracervical,  of  great  trochanter,  i.  583 

supracondyloid,  i.  594 

traction  in,  i.  490 
of  fibula,  i.  603 

after-treatment,  i.  608 

compound,  i.  606 

lower  end  of,  i.  606 

old,  with  vicious  union,  i.  608 

shaft  of,  i.  603,  606 

upper  end  of,  i.  603 
of  forearm,  bone  grafts  in,  i.  512 

in  newborn,  i.  531 
of  head  of  femur,  i.  583 

of  humerus,  i.  556 

of  radius,  i.  572 

of  scapula,  i.  556 
of  humerus,  i.  556 

anatomical  neck  of,  i.  557 

with  shoulder  dislocation,   i.  631 


Fractures 


43 


Fractures 


Fractures  of  humerus,  bone  graft  in,  i.  511 
epicondyle  of,  i.  568 
external  condyle  of,  i.  568 
head  of,  i.  556 
in  newborn,  i.  529 
internal  condyle,  i.  568 

epicondyle,  i.  568 
lower  end,  i.  565-571 
separation  of  lower  epiphysis,  i.  571 
shaft  of,  i.  560 
supracondyloid,  i.  567 

low,  i.  571 
surgical  neck  of,  i.  558 
tuberosities  of,  i.  557 
upper  end  of,  i.  556 
of  hyoid  bone,  i.  548 
of  internal  condyle  of  humerus,  i.  568 

epicondyle  of  humerus,  i.  568 
of  jaw,  i.  542 

interdental  moulded  splint  in,  i.  542 
lower,  i.  543 

interdental  splint  in,  i.  544 
Matas'  splint  in,  i.  545 
plaster-of-Paris  bandage  in,  i.  544 
wiring  in,  i.  545 
upper,  i.  542 
of  larynx,  ii.  219 
of  leg  in  newborn,  i.  531 
of  lesser  trochanter  of  femur,  i.  583 
of  lower  end  of  femur,  i.  593,  653 
gangrene  of  leg  in,  i.  595 
injury   of   popliteal   blood-vessels 

in.  i-. 595 
separation  of  lower  epiphysis  in, 
i-  594 
of  fibula,  i.  606 
extremity  of  humerus,  i.  565 
ankylosis  after,  i.  571 
articular  process,  i.  571 
comminuted,  i.  570 
deformity  after,  i.  571 
degree   of   bony   displacement,   i. 
566 
of  shaft  of  femur,  i.  594 
extremities,  iii.  462 
jaw,  bone  grafts  in,  i.  518 
of  malar  bone,  i.  540 
of  malleolus,  bone  grafts  in,  i.  516 
of  metacarpus,  i.  579 
of  metatarsus,  i.  608 
of  nasal  bones,  i.  539 
hematoma  in,  i.  539 
lateral  displacement  in,  i.  539 
rubber  tube  splint  in,  i.  539 
septum,  i.  540 
of  neck  of  femur,  i.  583 

abduction  method  in,  i.  585 
bone  grafts  in,  i.  512 
combined    longitudinal    and    trans- 
verse traction  in,  i.  583 
impaction  in,  i.  585 
in  children,  i.  587 
in  hip  dislocations,  i.  646 
in  old  persons,  i.  586 
operative  treatment,  i.  587 
time  required  for  union,  i.  586 
without  impaction,  i.  583 


Fractures  of  neck  of  radius,  i.  572 
of  scapula,  i.  55O 
of  olecranon,  bone  grafts  in,  i.  511,  572 

fibrous  union  in,  i.  573 
of  OS  calcis,  bone  grafts  in,  i.  517 
of  patella,  i.  596 

ambulant  treatment,  i.  597 

bone  grafts  in,  i.  516 

comminuted,  i.  602 

compound,  i.  603 

multiple,  i.  602 

nonoperative  treatment,  i.  596 

operations  on,  local  anesthesia  for,  i 

147 
operative  treatment,  i.  598,  602 
massage  in,  i.  601 
of  old  cases,  i.  602 
passive  motion,  i.  601 
suturing  in,  i.  599 
technic,  i.  599 
with  slight  separation,  i.  602 
of  pelvis,  i.  582 
of  penis,  iii.   250 
of  phalanges,  i.  580 
of  radius,  i.  572 
head  of,  i.  572 
neck  of,  i.  572 
shaft  of,  i.  573 
of  ribs,  i.  549 
of  scapula,  i.  556 
body  of,  i.  556 
head  of,  i.  556 
neck  of,  i.  556 
spine  of,  i.  556 
upper  angle  of,  i.  556 
with  shoulder  dislocation,  i.  632 
of  sesamoid  bone  of  thumb,  i.  582 
of  shaft  of  femur,  i.  588 

amount  of  weight  to  use,  i.  588 
compound,  i.  592 
consolidation  in,  time  of,  i.  5S9 
double  lateral  splint  in,  i.  592 
hip  splints  in,  i.  591 
in  hip  dislocations,  i.  646 
in  upper  part,  i.  590 
operative  treatment,  i.  591 
permanent  dressing,  i.  588 
plaster-of-Paris  case  in,  i.  591 
suspension  sphnt  in,  i.  591 
temporary  splint,  i.  588 
transverse,  i.  590 
variations  in,  i.  589 
vertical  extension  in,  i.  592 
of  fibula,  i.  603,  606 
of  humerus,  i.  560 
compound,  i.  565 
Penhallow's  splint  in,  i.  561 
scaffold  splint  in,  i.  564 
with  much  displacement,  i.  563 
with  shoulder  dislocation,  i.  631 
with  slight  displacement,  i.  562 
of  radius,  i.  573 
of  tibia,  i.  603 
of  ulna,  i.  573,  574 
of  skull,  i.  532 
basal,  i.  534 

concussion  in,  i.  537 


Fractures 


44 


Fungus 


Fractures  of  skull,  basal,  immobilization  in, 
i-  S3S 
lumbar  puncture  in,  i.  536 
operative  treatment,  i.  536 
trephining  in,  i.  536 
with  compression  symptoms,  i.  537 
with  meningeal  infection,  i.  537 
compound,  i.  534 
depressed,  i.  534 
with  symptoms  of  brain  compression, 

.'•  534 
without  depression  or  symptoms  of 
brain  injury,  i.  534 

gutter,!.  532 

punctured,  through  orbit,  i.  537 

simple  depressed,  i.  532 

vault  and  base,  i.  537 

vault,  simple  linear,  with  symptoms  of 
brain  compression,  i.  532 
of  spine  of  scapula,  i.  556 

of  tibia,  i.  654 
of  sternum,  i.  548 
of  stylo  d  process  of  ulna,  i.  S79 
of  surgical  neck  of  humerus,  i.  558 
of  tarsus,  i.  608 
of  thumb,  i.  582 
of  tibia,  i.  603 

after-treatment,  i.  608 

compound,  i.  606 

old,  with  vicious  union,  i.  608 

shaft  of,  i.  603 

spine  of,  i.  654 

upper  end  of,  i.  603 
of  trachea,  ii.  219 

in  newborn,  iii.  6g6 
of  tuberosities  of  humerus,  i.  557 
of  ulna,  i.  572 

shaft  of,  i.  573,  574 

styloid  process  of,  i.  579 
of  upper  angle  of  scapula,  i.  556 

end  of  fibula,  i.  603 
of  humerus,  i.  556 
of  tibia,  i.  603 
of  vertebrae,  i.  537 

immobilization  in,  i.  538 

with  compression,  i.  538 
of  zygoma,  i.  540 
operative  treatment,  i.  502 
pain  in,  i.  525 
paralysis  in,  i.  525 
pegging  fragments  in,  i.  506 
pillow  extension  in,  i.  493 
pneumatic  extension  in,  i.  494 
Pott's,  i.  606 

reduction  of,  artificial  leverage  in,  i.  476 
screws  in,  i.  507 

separation  of  epiphyses  in,  i.  524 
splints  for,  i.  477 
subcervical,  of  great  trochanter  of  femur, 

i-  583 
supracervical,    of    great    trochanter    of 

femur,  i.  58? 
surgical  emphysema  in,  i.  525 
suturing  bones  in,  i.  503 
swelling  in,  i.  525 
temporary  traction  in,  i.  485 
traction  in,  measurement  of  legs  in,  i.  493 


Fractures,  transverse  traction  in,  i.^gS 
traumatic  delirium  in,  i.  527 
ulceration  in,  i.  525 
weight  and  pulley  traction  in,  i.  487 
wire  traction  from  skin  in,  i.  493 
wiring  bones  in,  i.  503 
Zuppinger's  lever  traction  frame,   i.  494 
FragUitas  ossium,  i.  471 
Frambesia  tropica,  i.  303 

salvarsan  in,  i.  303 
Frame  truss  for  hernia,  iii.  1 7 
Franck's  method  of  gastrostomy  through 

external  cone,  modified,  ii.  734 
Franke's  method  of  avulsion  of  intercostal 
nerves,  ii.  347 
of  drainage  in  ascites,  ii.  560 
Frazier's  attachment  for  holding  patient  in 
craniotomy,  ii.  37 
method  of  frontal  approach  to  pituitary 
body,  ii.  87 
Freckles,  i.  840 
French's  chair  for  adenoid  operations,  ii. 

209 
Frenum  of  prepuce,  iii.  248 
rupture  of,  iii.  250 
short,  iii.  254 
Fresh  air  as  factor,  i.  21 
in  hemorrhage,  i.  344 
in  tuberculosis,  i.  278 
Friedman's   safety-pin   hemostat   in   scalp 

operations,  ii.  20,  21 
Froehlich's  method  of  tattooing  cornea,  ii. 

Frontal  eminence,  ii.  46 
sinuses,  ii.  179 

catarrhal   inflammation   of,   acute,   ii. 

chronic,  ii.  199 
empyema  of,  ii.  199 
free  opening  of,  ii.  199 
obliteration  of,  ii.  202-205 
wide  opening  of,  ii.  200 
Fronto-occipital  bandage,  iii.  746 

triangle,  iii.  784 
Frost-bite;  i.  826 

antitetanic  serum  in,  i.  265 

gangrene  from.  i.  318 

of  auricle,  ii.  304 
Fulda's  method  of  forming  motile  amputa- 
tion stump,  iii,  534 
Fulguration,  iii.  699 

for  cancer  of  uterus,  iii.  424,  703 

for  chancroid,  iii.  252 

for  herpetic  ulcers,  iii.  703 

for  papilloma  of  urinary  bladder,  iii.  700 

for  polyps  of  bladder  and  urethra,  iii.  703 

for  venereal  warts,  iii.  703 

in  inoperable  cancer,  i.  332 

technic,  iii.  700 
Fulminating  appendicitis,  iii.  loi 

infective  gangrene,  i.  317 
Functional  scoliosis,  ii.  353 
Fundus  of  stomach,  ii.  698 
Fungous  ulcers,  i.  314 
Fungus  cerebri,  ii.  65 

disease  of  India,  i.   273 

of  testicles,  iii.  306 


Furrows 


45 


Gastro-enterostomy 


Furrows  of  tongue,  ii.   2S9 
Furuncles,  i.  253,  827 

of  auricle,  ii.  304 

vaccines  in,  i.  253,  829 
Furunculosis,  i.  827 

vaccines  in,  i.  829 
Fusil  ethers,  i.  104 

Gad-flies,  bites  of,  i.  276 
Gaenslen's  method  of  osteoplastic  laminec- 
tomy, ii.  344 
Gag,  mouth-,  ii.  245 
Galactocele,  ii.  477 
Gallant's   corset  for  movable   kidney,   iii. 

iSS 
Gall-bladder,   iii.   105 

anastomosing  with  intestine,  iii.  125 

anatomy,  iii.   150 

cancer  of,  iii.   iiS 

e.xposure  of,  incision  for,  ii.  513 

incision  of,  iii.  122 

infection,  appendicitis  complicating,  iii. 
117 

opening  for  drainage  of,  iii.  122 

operations  on,  local  anesthesia  in,  i.  150 

perforation  of,  iii.   114,  116 

purse-string  suture  of,  i.  202 

removal  of,  iii.  127 
indications  for,  iii.  115 

subcostal  operations  for  exposure  of,  iii. 

typhoid  infection  of,  iii.  115 

wounds  of,  iii.  114 
Gall-stones,  ii.   780;  iii.  ii'i 

impacted  at  exit  of  bladder,  iii.   116 

in  common  duct,  iii.  116 

in  cystic  duct,  iii.   n6 

in  hepatic  ducts,  iii.  116 

infection  from,  iii.  116 

intestinal  obstruction  from,  ii.  60S 

intrahepatic,  iii.  113 

obstruction  from,  iii    116 
Galvanism  in  hyperthyroidism,  ii.  390 

in  neuralgia,  i.  S64 
Galvanocaustic    prostatotomy    for    hyper- 
trophy of  prostate,  iii.  232 
Gamma  rays  of  radium,  iii.  709 
Ganglia,  cervical  sympathetic,  injuries  to, 
i.   898.     See  also   Cervical  sympathetic 
ganglia. 

sympathetic,  of  neck,  removal,  in  epi- 
lepsy, ii.  loi 
Ganglion    tumor,    i.  SiS 
Gangrene,  i.  304,  315 

and  sloughing  of  scrotum,  iii.  302 

arterial  occlusive,  i.  317 

diabetic,  i.  318 

dry,  i.  316 

embolic,  i.  320 

from  ergot  poisoning,  i.  318 

from  frost-bite,  i.  31 S 

from  obliterating  angeitis,  i.  316 

from  poisons,  i.  320 

fulminating  infective,  i.  317 

gas,  iii.  813 

hospital,  i.  318 

hot-air  treatment,  i.  313 


Gangrene  in  fractures,  i.  525 

inflammatory,  i.  317 

malignant,  i.  270 

moist,  i.  317 

non-senile,  i.  320 

of  fingers,  prevention  of,  iii.  458 

of  intestines,  ii.  609 
eventration  for,  ii.  6og 

of  leg  in  fractures  of  lower  end  of  femur, 
i-  595 

of  lung,   ii.  415 

of  muscle,  i.  791 

of  penis,  iii.   252 

phagedenic,  i.  319 

phenol,  i.   320 

postfebrile,  i.  320 

presenile,  i.  320 

Raj'naud's,  i.  318 

rules  for  amputation  in,  i.  316 

senile,  i.  317 

sloughing,  i.  319 

suction  treatment,  i.  315 

traumatic,  i    317 

trophic,  i.  320 
Gangrenous  appendicitis,  iii.  100 

balanitis,  iii.  251 

cellulitis,  i.  318 

cystitis,  iii.  193 

esophagitis,  ii.  433 

stomatitis,  i.  319;  ii.  247 
Gaping  wounds,  i.  212 
Gas  bacillus  infection,  i.  270 

Menciere's  solution  in,  i.  271 
Morestin's  mixture  in,  i.  271 
wounds  infected  with,  i.  222 

coal,  asphyxia  from,  iii.  720 

eliminants,  i.  226 

embolism  from  artificial  pneumothorax, 
ii.  417 

gangrene,  iii.  S13 

illuminating,  asphyxia  from,  iii.  720 

irritating,  poisoning  from,  iii.  721 

poisoning,  iii.  716,  720 
Gas-ether  sequence,  i.  118 
Gaseous  cysts    of  intestinal   wall,   ii.  5S2 
Gasserian  ganglion,  alcohol  injection  of,  in 
trifacial  neuralgia,  i.  869 
exposure  of,  craniotomy  for,  ii.   106 
Gastrectomy  in  cancer  of  stomach,  ii.  704 

partial,  ii.  751,  759 

gastrojejunostomy  after,  ii.  755 

shock  in,  ii.  776 

total,  ii.  761 
Gastric.     See  Stomach. 
Gastritis  due  to  caustics,  ii.  702 

phlegmonous,  ii.  702 
Gastrocolic  ligament,   elongation  of,   with 
sagging  of  transverse  colon,  in  gastrop- 
tosis,  ii.  713 

route  of  approach  to  pancreas,  ii.  779 
Gastroduodenostomy,  ii.  747 

pyloroplasty  with,  ii.  741 
Gastro-enterostomj',  ii.  762 

feeding  after,  ii.  778 

in  gastric  cancer,  ii.  704 

in  gastroptosis,  ii.  713 

in  ulcer  of  stomach,  ii.  722 


Gastro-enterostomy 


46 


Glioma 


Gastro-enterostomy,  local  anest  i.hesia  in, 
ISO 
posterior,  in  pyloric  stenosis,  ii.   719 
shock  in,  ii.  776 
Gastro-esophagoplasty,  Jianu's  method,  ii. 

465 
Gastrohepatic  route  of  approach  to  pan- 
creas, ii.  779 
Gastro-intestiual  tract  and  bile-tract,  per- 
foration between,  iii.  116 
reconstruction  of  wall,  by  tissue  trans- 
plantation, ii.  773 
Gastrojejunal  ulcer,  ii.  580 
Gastrojejunostcmy  after  resection   of  py- 
loric end  of  stomach,  ii.  755 
anterior,  ii.  769 
in  cancer  of  stomach,  ii.  705 
in  duodenal  ulcer,  ii.  578 
posterior,  ii.  762 
Gastropexy  in  gastroptosis,  ii.   711 
Gastroplasty  by  transverse  incision  in  hour- 
glass stomach,  ii.  709 
shock  in,  ii.  776 
Gastroplication  in  dilatation  of  stomach,  ii. 

Gastroptosis,  ii.  710 

elongation  of  gastrocolic  ligament  with 
sagging  of  transverse  colon  in,  ii.  713 

gastro-enterostomy  in,  ii.   713 

gastropexy  in,  ii.  711 

hepatope.xy  in,  ii.  712 

pressure  pad  in,  ii.   711 
Gastroscopy,  ii.  244 
Gastrostomy,  ii.   730 

by  canalization  of  stomach  wall,  ii.  736 

in  cancer  of  stomach,  ii.  705 

in  stricture  of  esophagus,  ii.  436 

purse-string  suture  in,  i.   230 

through  external  cone,  ii.   734 

through  internal  cone,  ii.   731 

with  external  flap,  ii.  731 
Gastrotomy,  ii.   730 

in  corrosive  esophagitis,  ii.  432 
Gauss'    artery    press    in    hemorrhage,    i. 

366 
Gauze,  39 

Balsam-of-Peru,  i.  40 

bandages,  i.  55 

bichloride,  i.  40 

bismuth,  i.  40 

boric  acid,  i.  67-41 

borosalicylic,  i.  41 

chloretone,  i.  41 

chlorinated,  i.  40 

drainage    in    abdominal    operations,    ii. 
525 

drains,  i.  47 

iodoform,  i.  40 
sticky,  i.  40 

kephalin,  i.  41 

medicated,  i.  39 

paraffined,  i.  41 

phenol,  i.  40 

sponges,!.  43 

sterilization  of,  i.  39 

zinc  oxid,  i.  41 
Gelatin  in  hemorrhage,  i.  343 


Gellhorn's  acetone  treatment  for  cancer  of 

uterus,  iii.  424 
Generative    organs,    absence,    amenorrhea 
from,  iii.  397 
female,  iii.  322 

anatomy,  iii.  322 
male,  iii.  248 

anatomy,  iii.  248 
Genital  spots,  Fliess',  iii.  394 
tuberculosis,  iii.  144 
in  women,  iii.  439 
Genitals,  preparation  of,  for  operation,  i. 

180 
Genito-urinary  fistulas,  bismuth  paste  in- 
jections in,  i.  308 
organs,  iii.  138 

operations,  local  anesthesia  for,  i.  157 
Genu  recurvatum,  iii.  466 
valgum,  iii.  467 

osteotomy  for,  i.  714 
varum,  iii.  466 

deformity  in,  bone  grafts  for,  i.  787 
Giant-cell  sarcoma  of  long  bones,  i.  707,  709 
Giantism,  i.  322 

Gibson's  operation  for  resection  of  eyelids, 
ii.  147 
wooden  clamp  for  lateral  intestinal  anas- 
tomosis, ii.  665 
Gigli's  wire  bone  saw,  i.  29 
Gingivitis,  ii.   277 

Girls,  prolapse  of  uterus  in,  iii.  376 
Glabella,  ii.  45 
Glanders,  i.  273 

of  nasopharynx,  ii.  208 
Glands,  Bartholin's,  iii.  324 
carotid,  ii.  395 
internal  jugular,  ii.  363 
lacrimal,  ii.  136 
occipital,  ii.  363 
of  skin,  diseases  of,  i.  844 
parathyroid,  anatomy,  Li.  380 
parotid,  ii.  363 
retro-auricular,  ii.  363 
retropharyngeal,  ii.  363 
salivary,  ii.  377 
submaxillary,  ii.  363 
submental,  ii.  363 
subparotid,  ii.  363 
substernomastoid,  ii.  363 
supraclavicular,  ii.  363 
thymus,  ii.  394 
thyroid,  ii.  380 
accessory,  ii.  380 
Glans  penis,  iii.  248 
Glass  drainage  tubes,  i.  46 
Glaucoma,  ii.  131 
intravenous  injections  of  glucose  in,  ii. 

iridectomy   in,    ii.  131 
malignant,  ii.  132 
mydriasis  in,  ii.  118 
operations  for,  ii.  161 
osmosis  treatment,  ii.  131 
removal   of  upper  cervical  sympathetic 
ganglion  in,  i.  898 
Glioma  of  brain,  ii.  75 
of  retina,  ii.  13s 


Gliosarcoma 


47 


Group 


Gliosarcoma  of  brain,  ii.   75 
Globe.     See  Eyeball. 

Glossitis,    acute    parenchymatous,    ii.  288 
exfoliative,  ii.  289 
superficial,  acute,  ii.  288 
chronic,  ii.  288 
Glottis,  edema  of,  ii.  221 

spasm  of,  ii.   221 
Glove  bandage  of  fingers  and  hand,  iii.   761 
Gloves,  rubber,  i.  52 
care  of,  i.   174 
method  of  adjusting,  i.  174 
sterilization  of,  i.  52.     See  also  Sterili- 
zation. 
Gluck's  artificial  larynx,  ii.  236 

methods  of   laryngectomy,   ii.  233,    234 
Glucose  injections,  i.  20,  21 
intravenous  injections  of,  in  glaucoma, 

ii.  132 
solution  in  proctoclysis,  iii.  58 
Glue  dressings,  i.  56 
Gluteal  artery,  ligation  of,  i.  430 
Glycerin,  i.  58 
enema,  ii.  620 
method  for  sterilization  of  rubber  gloves, 

phenolized,  as  antiseptic,  i.  66 
treatment  of  infected  wounds,  i.  241 
Glycerin-formalin  injections  in  tuberculosis 
of  joints  i.   281,  664 
in  wounds  of  joints,  i.  655 
Gnats,  bites  of,  i.  27s 
Goffe's  operation  for  prolapse  of  uterus,  iii. 

379 
Goiter,  ii.  3S1 
contraindications  to  operation  in,  ii.  382 
exophthalmic,  ii.  390 
radium  in,  iii.  713 
incision  for,  ii.  382 
indications  for  operation  in,  ii.  382 
inflammation  of,  ii.  380 
intrathoracic,  ii.  446 
non-toxic,  excision  of,  ii.  382 

control  of  hemorrhage  in,  ii.  388 
results,  ii.  3S9 
operative  treatment,  ii.  382 
vascular,  operation  on,  ii.  388 
Goldthwait's  thumb  splint,  i.  582 
Gonorrhea,  iii.  279 
abortion  of,  iii.  279 
acute  anterior,  iii.  280 

chordee  in,  prevention,  iii.  280 
methylene-blue  in,  iii.  280 
painful  micturition  of,  iii.  280 
preventing  complications  in,  iii.  280 
posterior,  iii.  280 
antigonococcus  serum  in,  iii.  283 
chronic  anterior,  iii.  281 

posterior,  iii.  282 
in  women,  iii.  283 

ointment  treatment,  iii.  2S5 
injections  in,  iii.  280 
irrigations  in,  iii.  280 
of  uterus,  iii.  285 
prognosis,  iii.  283 
prophylaxis,  iii.  279 
stage  of  decline,  iii.  280 


Gonorrhea,  two-glass  test  in,  iii.  279 

when  cured,  iii.  283 
Gonorrheal  arthritis,  i.  660 

formalin-glycerin  injections  in,  iii.  806 

conjunctivitis,  ii.  123 

cystitis,  acute,  iii.  192 

endometritis,  acute,  iii.  369 

epididymitis,  surgical  treatment,  iii.  305 

inflammation  of  Bartholin's  glands,  iii. 
284 

iritis,    ii.  129 

ophthalmia,  iii.  285 

stomatitis,  ii.  247 

tenosynovitis,  i.  817 

urethritis,   iii.  279.     See  also  Gonorrhea. 

vaginitis,  iii.  284 

sterilized  yeast  in,  iii.  284 
in  children,  iii.  285 
Gottstein's  treatment  in  atrophic  rhinitis, 

ii.   187 
'Gould's  infolding  right-angle  mattress  suture 
of  intestines,  ii.  634 

method  of  end-to-side  intestinal  anasto- 
mosis, ii.  666 
Gouty  iritis,  ii.  129 
Gowns,  nurses',  i.  51 

Gracilis,  tendons   of,   tenotomy   of,   i.  815 
Graduated   tenotomy   in   heterophoria,   ii. 

176 
Grafting,  bone.     See  Bone  grafts. 

eyeball  after  enucleation,  ii.  160 

fascia-,  iii.  645 

fat-,  iii.  648 

hairy  skin,  iii.  644 

mucous  membrane,  iii.  644,  647 

nerve,  i.  857 

in  facial  paralysis,  i.  882 
results,  i.  859 

of  teeth,  ii.  279 

skin-,    iii.  636.     See    also  Skin-grafting. 

tendon,  i.  805 

testicles,  ii.  321 

tissues,  iii.  645 

upon  stump  in  amputation,  iii.  502 
Grafts,  bone,  i.  509.     See  also  Bone  grafts. 

omental,    in    intestinal    suture,    ii.  629 

peritoneal,  ii.  544 
Granular  conjunctivitis,  ii.  123 

eyelids,  ii.  123 

vaginitis,  iii.  356 
Granulating  wounds,  i.  220 
Grape  sugar  injections,  i.  20 
Grattage  operation  in  trachoma,  ii.  151 
Graves'  disease,  ii.  389,  390 
Gravity  ischemia  with  elastic  constriction 

for  control  of  hemorrhage,  i.  369 
Greaseless  face  cream,  i.  849 
Green's  direct-illumination  esophagoscope, 

ii..243  .... 
Gridiron  incision,  intramuscular,  in  abdom- 
inal section,  ii.  510 
Griffin  hand,  iii.  455 

Groin,  bandage  of,  spica,  ascending,  iii.   767 
descending,  iii.  768 
thigh  bandage  with,  iii.   76S 
h'mphadenitis  of,  iii.  459 
Group  experts  in  surgical  practice,  iii.   798 


Guillotine 


48 


Heart 


Guillotine,  ii.   213 

removal  of  tonsils  with,  ii.   216 
Gum  acacia  in  saline  infusion,  i.  34S 

mixtures  for  dressings,  i.  57 
Gummatous  ulcerations,  treatment,  i.  302 
Gums,  ii.  274 

angioma  of,  ii.  280 

epithelioma  of,  ii.   280 

inflammation  of,  ii.  277 

sarcoma  of,  ii.  2S0 
myeloid,  ii.   280 

tumors  of,  ii.  280 
Gunshot  wounds,  i.  222 
of  joints,  i.  656 
of  spleen,  ii.  784 
of  tongue,  ii.  288 
Gutta-percha  solutions,  i.  53 
Gutter  fractures  of  skull,  i.  532 
Guyon's  incision  for  amputation  of  leg,  iii. 

S87 
Gwathmey's    method     of     anesthesia     by 

mouth,  iii.  807 

Habit,  epileptic,  ii.  99 
Habits  as  factor  in  surgical  treatment,  i.  18 
Habitual  dislocations,  i.  612 
of  hip,  i.  646 

bone-grafts  in,  i.  783 
of  patella,  bone-grafts  in,  i.  787 
of  shoulder,  i.  632 
torticollis,  ii.  377 
Hackenbruch's  fracture  clamps,  i.  497 
Hagner's  anastomosis  of  vas  deferens  to  epi- 
didymis of  opposite  side  for  sterility,  iii. 
312 
Hahn's  method  of  pylorodiosis,  ii.  737 
Hair,  atrophy  of,  i.  847 
diseases  of,  i.  846 
human,  for  suturing  arteries,  i.  372 
superfluous,  i.  846 
Halazone  as  antiseptic,  i.  63 
Hallucinations  from  ether,  i.   105 
HaDux  rigidus,  iii.  495 

valgus,  iii.  491 
Halogen  derivatives  of  phenol  as  antiseptic, 

i.  60 
Halsted's  modification  of  Woelfler's  opera- 
tion for  inguinal  hernia,  iii.  37 
right-angle  mattress  stitch  in  intestinal 
suture,  ii.  633 
Hammer-finger,  iii.  455 
Hammer-toe,  iii.  491 

arthrodesis  in,  i.  739 
Hammock  for  lateral  correction  in  scoliosis, 
ii-  354 
suspension,  for  applying  jacket  in  Pott's 

disease,  ii.  329 
suspensory  bandage  of  scrotum,  iii.  782 
Hamstring  tendons,  tenotomy  of,  i,  815 
Hancock's  operation  for  glaucoma,   ii.  161 
Hand,  amputation  of,  iii.  530 

and  fingers,  glove  bandage  of,  iii.  761 
ankylosis  of,  disturbances  of  motion  due 

to,  iii.  453  _ 
atrophy  of,  iii.  450 
bandage  of.  iii.  761 
triangular,  iii.  792 


Hand,  carbuncle  of,  iii.  444' 
claw-,  iii.  455 
club-,  iii.  452 
contractures  of,  iii.  450 

disturbances  of  motion  due  to,  iii.  453 
deep  infections  of,  iii.  444 
diseases  of,  iii.  453 
edema  of,  iii.  450 
griffin,  iii.  455 

neuropathic  contractions  of,  iii.  453 
results  of  infection  of,  iii.  450 
saw,  Doyen's,  for  linear  bone  incisions,  ii. 

30 
sponges,  1.  43 
Handkerchief  bandage,  iii.   783 
Hands,  chapped,  i.  849 
eczema  of,  i.  833 

excessive  sweating  of,  treatment,  i.  849 
extensors  of,  paralysis  of,  tendon  trans- 
plantation in,  i.  812 
muscles  moving,  i.  893 
sterilization  of,  i.  1 73.     See  also  Steriliza- 
tion of  hands. 
Hard  skin,  i.  841 

Hard-rubber  bridge  in  saddle-nose,  ii.  194 
Harelip,  ii.  266 

deformed  nostril  with,  ii.  273 
double,  operation  for,  ii.  271 
lateral,  operation  for,  ii.   269 
operation  for,  ii.  267 
after-treatment,  ii.  273 
dyspnea  after,  ii.  274 
faUure  of  union  in,  ii.  274 
notched  lip  after,  ii.  273 
split-flap,  ii.   267 
Harrington's  segmented  ring  for  intestinal 
anastomosis,  ii.  674 
solution  as  antiseptic,  i.  59 
Harris'  diet  in  ulcer  of  stomach,  ii.  721 

operation  for  prolapse  of  uterus,  iii.  379 
Harrison's  drainage  tube,  i.  46,  47 
Hartley-Krause  method  of  removing  Gas- 

serian  ganglion,  ii.  ro8 
Hartwell's  method  of  blood  transfusion,  i. 

3S2 
Hayues'  operation  in  meningitis,  ii,  70 
Head  and  neck,  bandages  of,  iii.  742 

arteries  of,  ligation  of,  incisions  for,  i.  404 
bandage  of,  iii.  742 

cravat,  crossed,  iii.  787 

four-armed,  iii.  785 

universal,  iii.  742 

with  median  piece,  iii.  742 
diseases  of,  ii.  17 
injuries  of,  ii.  r7 

lowering  of,  in  hemorrhage,  i.  344 
operations  on,  local  anesthesia  for,  i.   140 

prevention  of  shock,  i.  215 
plastic  operations  on,  iii.  649 
preparation  of,  for  operation,  i,  180 
support  of,  in  Pott's  disease,  ii.  333 
tetanus,  i.  270 
tower,  ii.  42 
Healing  wounds,  iii.  734 
Heart,  ii.  424 
anatomy,  ii.  424 
exposure  of,  by  plastic  flap,  ii.  426 


Heart 


49 


Hemorrhage 


Heart  failure  of  newborn,  ii.  430 

foreign  bodies  in,  ii.  429 

massage  of,  for  syncope,  ii.  430 
in  general  anesthesia,  i.  99 
resuscitation  by,  iii.  821 

operative  exposure,  ii.  424 

reanimation  of,  ii.  430 

suture  of,  ii.  427 

wounds  of,  ii.  428 
penetrating,  ii.  429 
Heat  as  hemostatic,  i.  339 

sterilization  by,  i.  28 
Hebosteotomy,  iii.  410 
Hebotomy,  iii.  410 
Heel,  painful,  iii.  49s 
Heel-flap    method    of    disarticulation     of 

foot,  iii.  583 
Heineke  and  Mikulicz's  method  of  pyloro- 
plasty, ii.  740 
Heine's    method    of    cyclodialysis,    ii.   157 
Heliotherapy,  iii.  707 

for  lupus,  iii.  707 

for  surgical  tuberculosis,  iii.   707 

for  tuberculosis,  iii.   707 

for  ulcers  of  leg,  iii.  707 

in  infected  wounds,  i.  241 

in  tuberculosis,  i.  280 
of  joints,  i.  664 
of  knee,  i.  675 

in  varicose  ulcers,  i.  312 
Hematemesis,  ii.  727 

Hematocele    of    tunica    vaginalis,    iii.  303 
Hematoma  in  fractures  of  nasal  bones,  i. 

539. 

of  auricle,  ii.  303 

of  ovary,  iii.  431 

of  scalp,  ii.  17 

of  testicles,  iii.  303 

of  vagina,  iii.  333 

of  vulva,  iii.  327 

subungual,  i.  847;  iii.  457 

urinary  retention  from,  iii.   211 
Hematomyelia,  ii.  323 
Hematuria,  vesical,  iii.  209 
Hemolysis,  in  blood  transfusion,  i.  34S 

testing  for,  i.  355 
Hemolytic  jaundice,  ii.   783 
Hemophilia,  as  factor  in  operation,  i.  iSi 

hemorrhage  in,  i.  359 
Hemophiliac  joints,  i.  6S2 
Hemorrhage,  i.  334 

acupressure  in,  i.  341 

adding  fluids  to  body  in,  i.  344 

adrenalin  chlorid  in,  i.  341 

after  extraction  of  teeth,  ii.  279 

after  tonsillectomy',  ii.  214 

anemia  from,  i.  343 

angiotribe  in,  i.  339.  340 

antidiphtheritic  serum  in,  i.  342 

antistreptococcic  serum  in,  i.  342 

artificial  local  anemia  in,  i.  367 

astringents  in,  i.  341 

blood  in,  i.  342 

blood-serum  in,  i.  342 

blood  transfusion  in,  i.  343,  34S 

calcium  in,  i.  343 

cautery  in,  i.  339 


Hemorrhage,  coagulants  in,  i.  342 

cold  in,  i.  339 

compression  in,  artery  press  for,  i.  366 
of  arteries  in,  i    360 

control  of,  constriction  of  limb  for,  i.  367 
gravity  ischemia  with  elastic  constric- 
tion in,  i.  369 
in  abdominal  operations,  ii.  515 
in  bladder  operations,  iii.   197 
in  disarticulation  of  hip-joint,  iii.  602 

of  shoulder,  iii.  563 
in  goiter  excision,  ii.  388 
local  compression  for,  i.  370 
sequestration  of  blood  for,  i.  369 

crushing  vessels  in,  i.  339 

defibrinated  blood  in,  i.  343 

electricity  in,  i.  339 

elevation  in,  i.  341 

extradural,  ii.  55 

ligation  of  middle  meningeal  artery  in, 

extrapial,  compressing  spinal  cord,  ii.  323 

fascia  in,  i.  342 

fat  in,  i.  342 

fresh  air  in,  i.  344 

from  esophagus,  ii.  432 

from  kidneys,  iii.  154 

from  larynx,  ii.   223 

from  nose,  ii.  184 

from  testicles,  iii.  303 

from  uterus,  iii.  362 

gelatin  in,  i.  343 

heat  in,  i.  339 

impromptu  tourniquet  in,  i.  335 

in  abdominal  operations,  ii.  523 

control  of,  ii.  515 
in  Fallopian  tubes,  iii.  430 
in  hemophilia,  i.  359 
in  infection,  i.  359 
in  injuries  of  kidney,  iii.  145 
in  jaundice,  i.  359 
in  local  congestion,  i.  339 
in  newborn,  spastic  paralysis    from,  iii 

in  perineal  prostatectomy,  iii.  236 

in  pernicious  anemia,  i.  360 

in  purpura,  i.  360 

in  scalp  wounds,  control  of,  ii.  iS 

in  scurvy,  i.  360 

in  traumatic  asphyxia,  i.  360 

in  wounds,  i.   212 

into  brain  substance,  ii.  57 

into  broad  ligaments,  iii.  426 

into  retina,  ii.   135 

into  scrotum,  iii.  302 

into  spinal  cord,  ii.  325 

into  vitreous,  ii.  134 

intra-abdominal  postoperative,  ii.  524 

intracranial,  ii.  54 

in  newborn,  ii.  60;  iii.  694 
craniotomy  in,  ii.  61 
kephalin  in,  i.  342 
labyrinthine,  ii.  319 
ligature  in,  i.  335 
live  steam  in,  i.  339 
lowering  of  head  in,  i.  344 
mass-ligature  in,  i.  337 


Hemorrhage 


50 


Hernia 


Hemorrhage,   Momburg's  belt  constriction 

in,   i.  363 
muscle  in,  i.  342 
natural  arrest  of,  i.  334 
of  stomach,  ii.  727 

operation  for,  ii.  7  28 
postoperative  prevention,  i.  181 
pressure  in,  i.  334 

prevention  of,  in  amputation,  iii.  500 
reactionary,  i.  358 
secondary,  i.  358 
styptics  in,  i.  341 
subarachnoid,  ii.  S7 
subdural,  ii.  56 
surgical  arrest,  i.  334 
thrombin  in,  i.  342 
thromboplastin  in,  i.  342 
torsion   in,   i.  341 
transfusion  of  blood  in,  i.  348 
treatment,  rules  and  suggestions  for,  i. 

under  finger-nail,  iii.  457 
Hemorrhagic  cysts  of  neck,  ii.  372 

endometritis,  iii.  370 

retinitis,  ii.  r34 
Hemorrhoids,  iii.  69 

Boas'  extra-anal  method  in,  iii.   74 

chronic   intestinal   obstruction   from,   ii. 
610 

drug  treatment,  iii.  69 

external,  iii.  73 

inflamed,  iii.  74 

internal,  iii.  69 

operation  for,  ii.   70 
circular  excision,  iii.  72 
clamp  and  cautery  method,  iii.   72 
ligature  and  suture  method,  iii.  70 
requirements  of,  iii.  70 
simple  ligature  method,  iii.  72 

phenol  injections  in,  iii.  69 

quinin  and  urea  chlorid  injections  in,  iii. 
70 

ulcerated,  iii.  74 
Hemostasis  in  mouth,  ii.   245 

in  nasal  operations,  ii.  183 
Hemostat,  Friedman's  for  scalp  operations, 

ii.  20,  22 
Hemostatic    forceps,    i.  77 
Hemothorax,  ii.  400 
Hepatic  duct,  common,  anatomy,  iii.  105 

incision  of,  iii.  129 
Hepatocholangiotomy,  iii.   129 
Hepatopexy  in  gastroptosis,  ii.  712 
Hepatoptosis,  iii.  113 
Herbert's     wedge-isolation     operation     for 

glaucoma,  ii.  161 
Herbst's  method  of  injection  in  hydrocele, 

iii.  314 
Hereditary  syphilis,  i.  301 
Hermaphroditism,  iii.  437 
Hernia,  iii.  17 

abdominal  belt  for,  iii.  17 

adherent  omentum  in,  iii.  21 

cerebri,  ii.  64 

complications,  iii.  22 

concealed,  iii.  50 

diaphragmatic,  iii.  50 


Hernia,  duodenal,  iii.  50  . 
epigastric,  iii.  46 

fascia  grafts  for  reinforcing,  iii.  645 
femoral,  operations  on,  local  anesthesia 
in,  i.  ISO 
radical    cure,    operations    for,    iii.  38 
frame  truss  for,  iii.  17 
inflamed,  iii.   24 

inguinal,    direct,   operations   for,    iii.  36 
double    operation  for,   Judd's,    iii.  37 
in  female,  iii.  37 
in  infants,  iii.  1 8 
operation  for,  Bassini's,  iii.  32 

involving     muscle     transplantation, 

iii.  36 
Kocher's,  iii.  34 
local  anesthesia  in,  i.  150 
Torek's  iii.  35 
Warbasse's,  iii.  32 
with  bone  transplantation,  iii.  36 
with  periosteal  transplantation,  iii. 

.36 
without  removal  of  sac,  iii.  35 
Woelfler's,    Halsted's    modification, 
iii-  37 
inguinoperineal,  iii.  38 
internal,  iii.  5° 
interparietal,  iii.  37. 
interstitial,  iii.  37 
irreducible,  iii.  18,  22 

ta.xis  in,  iii.  22 
dangers,  iii.  22 
lumbar,  iii.  47 
obstructed,  iii.   24 
obturator,  ii.  45 
of  appendix,  iii.  104 
of  bladder,  iii.  51 
of  brain,  ii.   64 

of  cecum  and  appendix,  iii.  51 
of  diaphragm,  treatment,  ii.  470 
of  Fallopian  tubes,  iii.  51 
of  large  intestines,  adherent,  iii.  49 

sliding,  iii.  49 
of  muscle,  ii.  789 
of  ovary,  iii.  51 
of  umbilical  cord,  iii.  45 
of  uterus,  iii.  51 

operations  for,  in  two  stages,  iii.  52 
paraffin  prosthesis  for,  iii.  691 
pelvic,  iii.  48 
pericecal,  iii.  50 
retroperitoneal,  iii.  50 
sciatic,  iii.  45 
special  forms,  iii.  24 
strangulated,  iii.  22 

dangers,  iii.  21 

operation  for,  iii.  23 

prognosis,  iii.  23 
through  foramen  of  Winslow,  iii.  51 
through  linea  semilunaris,  iii.  47 
treatment,  iii.   17 

nonoperative,  iii.  17 
truss  in,  prognosis  with,  iii.  21 
umbilical,  iii.  18,  40.     See  also  Umbilical 

hernia. 
ventral,     iii.  46 

after  operation  in  appendicitis,  iii.  102 


Hernia 


51 


Humerus 


Hernia,  ventral  operations  on,  local  anes- 
thesia in,  i.  150 
Heron  tendon  sutures,  i.  37 
Herpes  of  lips,  ii.  246 
of  nasopharynx,  ii.  208 
of  tongue,  ii.  2S8 

progenitalis  in  syphilis,  treatment,  i.  302 
simplex,  i.  829 
zoster,  i.  830 
of  eyelids,  ii.  119 
Herpetic  keratitis,  ii.  127 

ulcers,  fulguration  for,  iii.  703 
of  tongue,  ii.  290 
Hess'  operation  for  ptosis  of  eyelids,  ii.  142 
Heterophoria,     graduated     tenotomy     in, 
ii.  176 
partial  tenotomy  in,  ii.  176 
Heteroplastic  bone-flaps,  i.  700 
for  filling  defects,  i.  700 
bone  grafts,  i.  772 
nerve  bridging,  i.  855 
transplantation,  i.  857 
Heuer's  intradural  approach  to  hypophyseal 

tumors,  iii.  819 
Hexamethylenamin  as  urinary  antiseptic, 
iii.  141 
to  prevent  meningitis  after  brain  opera- 
tions, ii.  52 
Hey's  method   of  amputation   of  leg,   iii. 

.5S8 
Hiccough,  postoperative;  i.  226 
High  inguinal  sigmoidostomy,  ii.  689 

tracheotomy,  ii.  227 
Highmore,  antrum  of,  ii.  179.     See  Maxil- 
lary antrum. 
Hip,  iii.  462 

amputation   at,   interUio-abdominal.    iii. 
605 
transpelvic,  iii.  605 
ankylosis  of,  iii.  463 
arthroplasty  in,  i.  765 
osteotomy  in,  i.  713 
arthritis  of,  acute  suppurative,  iii.  462 
chronic,  iii.  462 
subacute,  iii.  462 
arthrotom}'  of,  iii.  462 
contractures  at,  iii.  463 
contusions  of,  iii.  462 
disarticulation  of,  iii.  601 

by  anterior  racket  incision,  iii.  604 
control  of  hemorrhage  in,  iii.    602-604 
dislocations  of,  i.  640.     See  also  Disloca- 
tions of  hip. 
congenital,  i.  613.     See  also  Congeni- 
tal dislocations  of  hip. 
spontaneous,    iii.  462 
excision  of,  i.  748.     See  also  Excision  of 

hip. 
loose  bodies  in,  iii.  463 
osteochondritis  of,  deforming,  in  children, 

iii-  463  . 

paralj'tic   relaxation   of,    arthrodesis   in, 

i-  739 
snapping,  iii.  465 
splints  in  fractures  of  shaft  of  femur,  i 

sprains  of,  i.  652 


Hip,  tuberculosis  of,  i.  665.     See  also  Tuber- 
culosis of  hip. 
Hirschsprung's   disease,   chronic   intestinal 

obstruction  from,  ii.  610 
Hives,  i.  827 
Hodgen's   splint   in   impacted   fracture   of 

neck  of  femur,  i.  585 
Hodgkin's  disease,  i.  464 

.T-rays  in,  i.  465 
Hoffa's   method   of   manual   correction    of 

club-foot,  iii.  474 
Holders,   needle,   i.  79 

sponge,  i.  79 
Holes,  chrome,  i.  315 
HoUow  foot,  iii.  489 

Holocain  anesthesia  in  eye  operations,  ii. 
118 
hydrochloride  as  local  anesthetic,  i.   137 
Holzknecht's  method  of  regulating  .-c-ray 

dosage,  iii.  704 
Homatropin  as  mydriatic,  ii.  118 
Homoplastic  nerve  transplantation,  i.  837 
Hooks,  fish  or  crochet,  removal  of,  from 

tissues,  iii.  809 
Hordeolum,  ii.  119 

Hormonal  in  acute  intestinal  stasis,  ii.  614 
Horn,  i.  841 

Horny  elevations  of  lips,  ii.  254 
Horsehair  sutures,  i.  37 
Horsley's  clamp  for  lateral  anastomosis  of 
arteries,    i.  378 
method  of  transplanting  cheek  i3ap  with 
temporal  artery,  iii.  660 
Hospital  bed,  i.  22,  23 
■gangrene,  i.  31S 
proper  ventilation  of,  i.  21 
Hct  air  in  gangrene,  i.  315 

applications  for  inflammation,  i.  233 

in  chronic  inflammations,  i.  249 
water  sterilizer,  i.  29 
wet  dressings  in  infections  of  extremities, 
iii.  445 
Hot-air  treatment  of  chronic  suppurative 
otitis  media,  ii.  309 
of  suppurating  wounds,  i.   187 
Hour-glass  stomach,  ii.  706 
gastroplast}'  for,  ii.   709 

by  transverse  incision,  ii.  709 
Housemaid's  knee,  i.  819 
Howard's  method  of  artificial  respiration, 

iii.  718 
Hudson's  burrs,  ii.  28,  29 

linear  bone-cutting  forceps,  ii.  29 
Humerus,  amputation  through,  iii.  526 
anatomical  neck,  fractures  of,  i.  557 
excision  of,  i.  730 
shaft,  i.   731 
total,  i.  731 
fractures  of,  i.  556.     See  also  Fractures  of 
humerus. 
of  lower  extremity,  i.  560.     See  also 
Fractures  of  lower  extremity  of  hum- 
erus. 
of  shaft,  i,  560.     See  also  Fractures  of 
shaft  of  humerus. 
head  of,  penetration  of  chest  wall  by,  in 
shoulder  dislocations,  i.  632 


Humerus 


52 


Hypodermic 


Humerus,  osteosarcoma  of  head  and  neck, 
i.  706 
resection  of,  i.   730 
surgical  neck,  fractures  of,  i.  55S 
tuberosities,  fractures  of,  i.  557 
upper  extremity,  fractures  of,  i    556 
Humped-nose,  plastic  operations  on,  iii.  683 
Hunter's  canal,  ligation  of  femoral  artery  in, 

'•  436. 
Hychlorite  as  antiseptic,  i.  63 
Hydatid  C5'sts  of  breast,  ii.  477 
of  kidney,  iii.  r5i 
of  liver,  iii.  112 
of  spleen,  ii.  785 
Hydrargyri  chloridum  corrosivum  in  syphi- 
lis, i.   285 

iodidum  flavum  in  syphilis,  i.   285 
Hydrargyrism  in  syphilis,  i.  289 
Hydrargyrum  oleatum  in  syphilis,  i.  286 
Hydrencephalocele,  ii.  92 
Hydrobromic  ether  anesthesia,  i.  118 
Hydrocele,  iii.  312 

catgut  treatment,  iii.  316 

eversion  for,  iii.  313 

extirpation  of  unopened  sac  in,  iii.  316 

in  adults,  iii.  314 

in  young  children,  iii.  314 

of  round  ligament,  iii.  316 

of  spermatic  cord,  iii.  316 

of  vulva,  iii.  328 

operation  for,  iii.  312 

tapping  for,  iii.  314 
injection  after,  iii.  314 
Hydrocephalus,  ii.  94,  350 

acquired  internal,  ii.  95 

congenital,  subtemporal  drainage  in,  ii. 

ventricular,  ii.  95,  97 

subperitoneal  drainage  in,  ii.  97 

drainage  of  cisterna  magna  into  cranial 
sinuses  in,  ii.  98 

external,  ii.  94,  95 

puncture  of  cerebral  ventricles  in,  ii.  95, 
96 
Hydrochloric  acid  as  antiseptic,  1.  72 
Hydrochlorid  of  quinin  as  antiseptic,  i.   71 
Hydrogen  peroxid  as  antiseptic,  i.  68 
Hydronephrosis,  iii.  153 

pyeloplication  in,  iii.   153 

ureteropyelostomy  in,  iii.  153 
Hydrophobia,  i.  273  . 

desiccated  vaccine  in,  i.   273 

Pasteur  treatment,  i.  273 
Hydrotherapy  in  burns  of  skin,  i.  822 

in  syphilis,  i.  29S 
Hydrothorax,  ii.  401 

aspiration  in,  ii.  401 

autoserotherapy  in,  ii.  402 

insufflation  of  air  in,  ii.  402 

tuberculous,  ii.  413 
Hygiene  of  mouth,  ii.  245 
Hymen,  iii.  324 

dense,  iii.  328 

imperforate,  iii.  328 
Hyoid  bone,  fractures  of,  i.  548 
Hyoscin  as  mydriatic,  ii.  118 
Hypercapnia  in  anesthesia,  i.  123 


Hyperchlorhydria  in  ulcer  of  stomach,  treat- 
ment, ii.  722 
Hj'peremia,    Bier's,    i.  229-232.     See   also 
Bier's  hyperemia. 

of  conjunctiva,  ii.  121 

passive,  for  infections  of  extremities,  iii. 
445 

pulmonary,  postoperative,  i.  227 
Hyperidrosis,  i.  844 

of  hands,  treatment,  i.  849 
Hypernephroma,  iii.  151 
Hyperplasia   from   paraffin   prosthesis,   iii. 
692 

of  fatty  tissue  of  knee-joint,  iii.  465 
Hyperplastic  nasopharyngitis,  ii.   205 

rhinitis,  ii.  187 
Hyperthyroidism,  ii.  389 

dangers   of  nonoperative   treatment,   ii. 

extreme  exophthalmos  in,  ii.  391 
faradism  in,  ii.  390 
galvanism  in,  ii.  390 
ligation  of  thyroid  gland  in.  ii.  393 
operative  treatment,  ii.  391 
quinin  and  urea  injections  in,  ii.  390 
radium  in,  ii.  390 
thyreoprivic  serum  in,  ii.  390 
thyroidectomy  in,  ii.  392 
a:-rays  in,  ii.  390 
Hypertonic  solutions,  injection  of,  i.  138 

treatment  of  infected  wounds,  i.  241 
Hypertrichosis,  i.  846 
Hypertrophic  skin  diseases,  i.  840 
stenosis  of  pylorus,  acquired,  ii.  720 
subglottic  larj'ngitis,  ii.  219 
Hypertrophy  of  bladder,  iii.  206 
of  breast,  ii.  472 

senile  parenchymatous,  ii.  47s 
of  cervix,  iii.  375 

amputation  in,  iii.  375 
of  clitoris,  iii.  328 
of  labia  minora,  iii.  329 
of  lacrimal  gland,  ii.  136 
of  nail,  i.  848 
of  penis,  iii.  254 
of  prostate,  iii.  231 

Bottini's  operation  for,  iii.  232 

catheterization  for,  iii.  231 

galvanocaustic  prostatomy  for,  iii.   232 

operation  in,  iii.  231 

palliative  treatment,  iii.  231 

prevention,  iii.  231 

suprapubic  cystotomy  for,  iii.  232 

urinary  retention  from,  ui.  211 
of  spleen,  ii.  7S5 

of  synovial  fringes  of  knee-joint,  iii.  465 
of  thymus  gland,  ii.  446 
of  tongue,  ii.  290 
of  tonsils,  chronic,  ii.  212 
of  turbinates,  ii.  186 
Hypnotic  anesthesia,  i.  126 
Hypochlorite  of  potassium   as   antiseptic, 

i.  64 
of  sodium  as  antiseptic,  i.  64 
solution,  method  of  making,  i.  62 
Hypodermic  narcotic  agents,  i.   123 

phlorhizin  test  of  kidney  function,  iii.  143 


Hypodermoclysis 


53 


Incomplete 


Hypodermoclxsis,  i.  344 

continuous,  i.  345 

in  peritonitis,  ii.  550 
Hypoglossal  nerve,   grafting   of,   in    facial 
paralysis,  i.  SS2 
injuries  and  diseases  of,  i.  892 
Hypoglossal-accessorius-facial  nerve  graft- 
ing in  facial  paralysis,  i.  886 
Hypoglossal-facial  nerve  grafting  in  facial 

paralysis,  i.  883 
Hypophyseal  tumors,  intradural  approach 

to,  iii.  819 
Hypophysis  of  brain.     See  Piluilary  body. 
Hypopyon,  ii.  128 

keratitis,  ii.  126 

operation  for,  ii.  152  ■ 

Hypospadias,  Beck's  operation  for,  iii.   267 

Sevan's  operation  for,  iii.  269 

operation  for,  iii.  261 

Russell's  operation  for,  iii.  267 

Szymanowski's  operation  for,  iii.  266 
Hypostatic  congestion,  i.  228 

of  lungs  in  fractures,  i.  525 
Hyposulphite  of  calcium  as  disinfectant,  i. 

61 
Hypothyroidism,  ii.  394 
Hypotonic  solutions,  injection  of,  i.  138 
Hysterectomy,  abdominal,  iii.  415 
for  cancer,  iii.  421 
partial,  iii.  41S 

after-treatment,  iii.  426 

by  two  suture-ligatures,  iii.  421 

combined  abdominal  and  vaginal,  iii.  422 

for  inversion  of  uterus,  iii.  385 

for  prolapse  of  uterus,  iii.  380 

in  pregnancy,  iii.  425 

partial,  for  fibroid  tumors,  iii.  41 S 

preparation  of  patient,  iii.  411 

ureterovaginal  fistula  following,  iii.  353 

vaginal,  iii.  411 

by  morcelleraent,  iii.  414 
with  clamps,  iii.  414 
Hysteria,  traumatic,  ii.  103 
Hysterical  spine,  ii.  353 
Hysterotomy,  iii.  401 

abdominal,  iii.  404 
obstetric,  iii.  404 

low,  iii.  408 

vaginal,  iii.  401 

Ice,  as  anesthetic,  i.  154 
Ice-bag,  i.  236 

Ichthargan  as  antiseptic,  i.  67 
Ichthoform  as  antiseptic,  i.  73 
Ichthyol  as  antiseptic,  i.   73 

silver  as  antiseptic,  i.  67 
Ichthyol-glycerin  as  antiseptic,  i.  73 
Ichthyosis,  i.  S42 
Icterus,  hemolytic,  ii.  785 

hemorrhage  in,  i.  359 
Idiocy,  congenital,  ii.  103 
Ileocecal  valve,  anatomy,  ii.  625 
incompetent,  ii.  614 
obstruction,  ii.  602 
Ileocolostomy  for  tuberculosis  of  cecum,  ii. 

.    575     .    . 

in  chronic  intestinal  stasis,  ii.  613 


Ileum,  anatomy,  ii.   624 

Ileus,  paralytic,  iii.  552 

pituitrin  in,  ii.  553 

Iliac  artery,  common,  embolism  of,  i.  45S 

ligation  of,  i.  426 

extraperitoneal,  i.  426 
compression  of,  for  hemorrhage,  i.  367 
e.xternal,  aneurism  of,  i.  398 

ligation  of,  i.  429 
internal,  aneurism  of,  i.  39S 

compression  of,   for  hemorrhage,  i. 

367 
ligation  of,  i.  430 
Iliofemoral     triangular    bandage,     iii.  792 
Ilio-inguinal  abdominal  section,  ii.  510 
Illuminating  gas,  asphyxia  from,  iii.  720 
Imbecility,  congenital,  ii.  103 
Imbedded  tonsils,  ii.  216 
Immature   cataract,   intracapsular   extrac- 
tion, ii.  171 
preliminary   capsulotomy   for,    ii.  168 
Immobilization  for  infected  wounds,  i.  222 
in  basal  fractures  of  skull,  i.  535 
in  compound  fractures,  i.  520 
in  fracture  of  vertebrae,  i.  538 
in  tuberculosis  of  hip,  i.  666,  668 

of  knee-joint,  i.  674 
of  fragments  after  fracture,  i.  476 
Immobilizing  adducting  bandage  of  knees, 
iii.  770 
bandage  of  shoulder,  iii.  755 
and  arm,  iii.  755 
Impacted    cerumen    in    external    auditory 

canal,  ii.  305 
Impaction  in  fractures,  i.  524 
Imperforate  anus,  iii.  66 
hymen,  iii.  328 
rectum,  iii.  66 
Impermeable  stricture  of  anterior  urethra, 
iii.  294 
of  deep  urethra,  iii.  294 
of  urethra,  iii.  290,  297 
Impervious  protective  materials,  i.  S- 
Impetigo  contagiosa,  i.  829 
Implantation,  muscle,  in  empyema,  ii.  411 
of  nerves,  i.  857 
results,  i.  859 
of  ureter,  iii.  176,  181 
into  bladder,  iii.  176 
into  cecum  for  exstrophy  of  bladder,  iii. 

20s 
into  large  intestine,  iii.  178 
into  pelvis  of  kidney,  iii.   iSo 
into  rectum,  iii.   179 
into  skin,  iii.  iSo 
lateral,    by   uretero-ureterostomy,    iii. 

Impotence  in  male,  iii.  321 

Impregnation,  artificial,  iii.  438 

Incised  wounds,  i.  219 

of  joints,  infected,  i.  655 

Incision  of  common  duct,  iii.  129 

retroduodenal  portion,  iii.  130 
of  hepatic  duct,  iii.  129 
transverse,  abdominal,  ii.  507-512 

Incompetent  ileocecal  valve,  ii.  614 

Incomplete  tonsillectomy,  ii.  213 


Incontinence 


54 


Inflamed 


Incontinence  of  feces,  iii.  60 

paraffin  prosthesis  for,  iii.  691 
of  sphincter  of  bladder,  iii.   207 
of  urine,  iii.  207 

paraffin  prosthesis  for,  iii.  691 
of  vesical  sphincter,  iii.  330 
Incus,  ii.  299 

Index-finger,   disarticulation   of,   at   meta- 
carpophalangeal joint,  iii.  S49 
infections  of,  iii.  447 
India,  fungus  disease  of,  i.  273 
Indian  hemp  dressings,  i.  42 
Indigo-carmin  test  of  kidney  function,  iii. 144 
Indirect  blood  transfusion,  i.  353 
Indolent  ulcers,  i.  312 
a;-rays  in,  iii.  706 
Indurated  ulcers,  i.  313 
Induration  and  swelling  of  testicles,  iii.  305 
Industrial  accidents,  prevention  of,  iii.  722 

surgical  treatment,  iii.  723 
Infancy,  pyloric  stenosis  of,  ii.  717 
Infantile  paralysis,  arthrodesis  in,  i.  738 
with  drop-foot,  silk  ligaments  in,  i.  802 
uterus,  amenorrhea  from,  iii.  397 
Infants.     See  Newborn. 
Infarction,  septic,  of  kidney,  iii.  146 
Infected  cysts,  i.  326 

wounds,  i.  27,  28,  211,  237 
acute,  iii.  734 

artificial  hyperemia  in,  i.  28 
Bacillus  diphtherias  in,  i.  262 
before  onset  of  inflammation,  iii.   734 
cleanliness  of,  i.  28 
gas  bacillus  in,  i.  222 
embalming  treatment,  iii.  812 
heliotherapy  in,  i.   241 
immobilization  for,  i.   222 
iodized  starch  for,  i.  242 
Javel  water  in  i.  64,  247 
Labarraque's  solution  in,  i.  64 
mechanical  cleansing  in,  i.  28 
of  joints,  incised,  i.  655 
poultice  in,  i.  28 
primary  delayed  suture  for,  iii.  811 

suture  for,  iii.  811 
putrefactive  organisms  in,  i.  212 
rest  treatment,  i.  187 
sources  of,  i.  28 
staphylococci  in,  i.  212 
treatment,  i.  186,  237 
acriflavine,  iii.  810 
antiseptic,  i.  242         ' 
Bacillus  bulgaricus,  i.  241 
bipp  paste,  i.   248 
bismuth  paste,  i.  248 
brilliant  green,  iii.  810 
by  embalming,  iii.  812 
chloramin,  i.  242 
chloraminated  oil,  i.  247 
chlorazene,  i.  242,  247 
combined  instillation  and  bipp  paste, 

iii.  811 
Dakin-Carrel  instillation,  i.  242 
Dakin's  antiseptic,  i.  242 
dichloramin,  i.  247 
electric  light,  i.  241 
embalming,  iii.  812 


Infected  wounds,  treatment,  ether,  i.  248 

flavine,  iii.  809 

formaldehyd-phenol     in     camphor- 
paraffin,  iii.  80s 

glycerin,  i.  241 

hot  peroxid-phenol,  i.  247 

hypertonic,  i.  241 

lactic  acid,  i.  241 

magnesium  hypochlorite,  i.  247 
sulphate,  i.  248;  iii.  810 

open,  i.  240 

physiologic,  i.  239 

potassium  hypochlorite,  i.  247 

proflavine,  iii.  810 

salt  pack,  i.  241 

soap,  i.  248 

sodium  hypochlorite,  i.  247 
Infection,  extradural,  ii.  65 
from  outside  body,  i.  27 
from  within  body,  i.  27 
gas  bacillus,  i.  270 
hemorrhage  in,  i.  359 
joint,  vaccines  in,  i.  257 
of  abdominal  wall,  ii.  536 
of  bile-tract,  iii.  1 14 
treatment,  iii.  115 
of  foot,  iii.  46S 
of  intestinal  canal,  ii.  569 
of  kidney,  iii.  146 
of  liver,  iii.  109 
of  mediastinum  ii.  444 
of  muscles,  i.  791 
of  prostate,  iii.  229 
of  scalp,  ii.  23 
of  scrotum,  iii.  302 

of  temporal  bone,  intracranial  complica- 
tions of,  ii.  318 
pyocyaneus,  i.  261 

resistance  to,  as  factor  in  surgical  treat- 
ment, i.   26 
skin,  i.  825 

sodium  succinate  in,  i.  258 
streptococcus,  i.  262 
surgical,  i.  255 

with  Bacillus  aerogenes  capsulatus,  i.  271 
wound,  i.  27.     See  also  Infected  wounds. 
Infectious  eczematoid  dermatitis,  i.  826 
Infective  arteritis,  i.  380 
arthritis,  acute,  i.  658 
bursitis,  i.  819 

diseases  of  cranial  bones,  ii.  41 
inflammation  of  wounds,  i.  28 
lymphoma,  i.  464 
x-rays  in,  i.  465 
myositis,  i.  791 
neuritis,  acute,  i.  862 
processes  in  neck,  ii.  361 
synovitis,  acute,  i.  65S 
tenosynovitis,  i.  817 

thrombosis   of   venous   sinuses    of    dura 
mater,  ii.  71 
Infiltration  anesthesia,  i.  127 

general,  in  local  anesthesia,  i.  132 
Inflamed  hemorrhoids,  iii.  74 
hernia,  iii.  24 
patellar  pad,  i.  653 
ulcers,  i.  312 


Inflammation 


55 


Innominate 


Inflammation,  i.   22S 
acute,  i.  228 

rest  treatment,  i.  229 
Bier's  liyperemia  in,  i.  229 
chronic,  i.  249 

Bier's  liyperemia  for,  i.  232 

cold  applications  in,  i.  250 

electricity  in,  i.  250 

massage  in,  i.  249 

nourishment  in,  i.  249 

passive  motion  in,  i.  249 

rest  in,  i.  250 

seton  in,  i.  250 

skin  irritation  in,  i.  250- 

suction-traction  massage  in,  i.  250 

vibration  in,  i.  249 
cold  applications  for,  i.  235 
counterirritation  for,  i.  237 
dietetic  treatment,  i.  235 
elevation  of  part  in,  i.  237 
evaporating  lotions  for,  i.  237 
hot  applications  in,  i.  233 
infective,  i.  228 
inhibitive  treatment,  i.  235 
local  antiseptic  treatment,  i.  234 
natural  treatment,  i.  2  28 
of  bladder,   iii.  191.     See   also   Cystitis. 
of  brain,  ii.  73 
of  chest  wall,  ii.  398 
of  conjunctiva,   ii.  121.     See    also    C071- 

jimctivUis. 
of  Cowper's  glands,  iii.  275 
of  epididymis,  acute,  iii.  304 
of  esophagus,  ii.  432 
of  face,  ii.  115 
of  kidney,  iii.  146 
of  lacrimal  gland,  ii.  136 
of  lips,  ii.  246 

of  lower  extremities,  iii.  462 
of  mouth,  ii.  246 
of  nail,  i.  848 
of  nipple,  ii.  473 
of  omentum,  ii.  620 

of  ovary,  iii.  430.     See  also  Oophoritis. 
of  pelvis  of  kidney,  iii.  147 
of   rectum,    iii.  61.     See    also   Proctitis. 
of  stomach,  ii.  702.     See  also  Gastritis. 
of  testicles,  acute,  iii.  304 
of  thyroid  gland,  ii.  380 
of  urethra,  simple,  iii.   272 
of  verumontanum,  iii.  272 
of  vulva,  iii.  327 
skin,  i.  825 
Inflammatory  gangrene,  i.  317 
stricture  of  urethra,  iii.  2S6 
Inflation,    mouth-to-mouth,   for   resuscita- 
tion, iii.  730 
Influenza,  arthritis  in,  i.  660 
Infolding  purse-string  suture,  iii.  809 

suture,  i.   201 
Infundibuliform  amputations,  iii.  513 
Infusion,  arterial,  local   anesthesia    by,  i, 

134 
saline.     See   Saline   infusion. 
sugar,  i.  348 

venous,  in  local  anesthesia,  i.  132 
Ingrown  toenail,  iii.  493 


Inguinal  abscess  in  Pott's  disease,  ii.  337 
anus  in  cancer  of  rectum,  iii.  76 
colostomy,  left,  ii.  686 
hernia,  direct,  operations  for,  iii-  36 
double,  operation  for,  Judd's,  iii.  37 
in  female,  iii.  37 
in  infants,  iii.  18 
operation  for,  Bassini's,  iii.  32 

involving  muscle  transplantation,  iii. 

36 
Kocher's,  iii.  34 
local  anesthesia  in,  i.  150 
Torek's,  iii.  35 
Warbasse's,  iii.  32 
with  bone  transplantation,  iii.  36 
with  periosteal  transplantation,  iii.  36 
with  removal  of  sac,  iii.  35 
Woelfler's,    Halsted's    modification, 

iii-  37 
sigmoidostomy,  ii.  685 
high,  ii.  689 
low,  ii.  690 
Inguinoperineal  hernia,  iii.  38 
Inhalers,  ether,  i.  106,  107 
Inion,  ii.  45 
Injections,  nutrient,  i.  20 

proteid,  i.  21 
Injured,  tirst  aid  to,  iii.  722 
transportation  of,  iii.  723 
by  aeroplane,  iii.  728 
by  ambulance,  iii.  727 
by  stretcher,  iii.  724 
by  travois,  iii.  726 
Injuries  from  electric  currents,  iii.   716 
from  radiation,  iii.  716 
general,  of  neck,  ii.  360 
of  bladder,  iii.  190 
of  bones  of  skull  in  newborn,  iii.  695 
of  brain,  ii.  63 
of  choroid,  ii.  130 
of  head,  treatment,  ii.  1 7 
of  intracranial  nerves,  ii.  63 
of  kidney,  iii.  144 

hemorrhage  in,  iii.  144 
infection  in,  iii.  145 
nephrectomy  for,  iii.  14S 
operative  repair,  iii.  145 
of  larynx,  ii.  219 
of  meningeal  sinuses,  ii.  64 
of  nails,  i.  847 
of  newborn,  iii.  694 
of  nose,  ii.  183 
of  penile  urethra,  iii.  250 
of  peritoneum,  ii.  542 
of  prostate,  iii.  228 
of  rectum,  iii.  60 
of  sacro-iliac  joint,  iii.  459 
of  spleen,  ii.  784 
of  tongue,  ii.  287 
of  trachea,  ii.  219^ 
of  ureter,  iii.  156 
of  urethra,  iii.  271 

extravasation  of  urine  in,  iii.  271 
Inlay  bone  graft,  method  of  holding,  i.  774 
Innominate  arterj',  aneurism  of,  i.  399 
ligation  of,  i.  403 

indications  for,  i.  406 


Inoculations 


56 


Intestinal 


Inoculations,  curative,  i.  255 

protective,  i.  255 
Inoperable  abdominal  carcinoma,  ii.  706 

cancer,  i.  331 
Insanity,  ii.  102 

cases  demanding  operation,  ii.   103 

congenital,  ii.  103 

primary  traumatic,  ii.  102 

surgical  treatment,  ii.  104 
Insects,  bites  and  stings  of,  i.   275 
on  mouth,  ii.  247 

infection  from,  i.  27 
Inspiratory  moan  in  rectal  operations,  iii.  61 
Instruments,  i.  75 

arrangement  of,  at  operation,  i.   169 

bone,  extemporized,  i.  89 

counting  of,  i.  172 

emergency,  i.  87 

for  amputation,  iii.  499 

for  operations  on  eye,  ii.  138 
on  nose,  ii.   180 

leaving  in  abdomen  in  operations,  pre- 
vention, ii.  516 

nurse  in  charge  of,  i.   169 

room  for,  i.  167 

sterilization  of,  i.  89 
table  for,  i.  169 
Insufflation,  endotracheal,  with  nitrous-oxid 
oxygen,  i.  122 

intratracheal,  iii.  719,  730 
in  electric  shock,  iii.  719 
in  gas  poisoning,  iii.  721 

of  air  in  hydrothorax,  ii.  402 

of  lungs,  ii.  446 

apparatus  for,  ii.  447 

pharyngeal,  in  ether  anesthesia,  i.  no 
Intercostal  artery,  wounds  of,  ii.  390 

nerves,  injuries  of,  i.  897 

neuralgia,  i.  897 

thoracotomy,  simple,  in  empyema,  ii.  403 
Interdental  moulded  splints  in  jaw  frac- 
tures, i.  542,  544,  546 
Interilio-abdominal    amputation     at    hip- 
joint,  iii.  60s 
Interintestinal  adhesions  in  abdominal  op- 
erations, ii.  523 
Interlocking  suture,  i.  201 
Intermittent  anesthesia,  i.  loi 
Intermuscular  temporal  craniotomy,  ii.  36 
Internal   angular  process   of   supra-orbital 
arch,  ii.  46 

diseases,  i.  17 

natural  tendency  of,  i.  17 

hernia,  iii.  50 

sclerotomy,  ii.  157 
Interparietal  hernia,  iii.  37 
Interphalangeal  joint  of  finger,  disarticula- 
tion at,  iii.  546 
Interpleural   pneumolysis   in    tuberculosis, 

ii.  418 
Interrupted  intestinal  suture,  ii.  628 

sutures,  i.  187 
Interscapulothoracic  amputation,  iii.  568 
Interstitial  hernia,  iii.  37 

injections  of  oxygen,  i.  358 

keratitis,  ii.  127 

mastitis,  chronic,  ii.  474 


Intestinal  anastomosis,  }i.  646 

by  circular  occlusion  method,  ii.  658 
by  clamp  method,  ii.  676 
by  lateral  implantation,  ii.  665 
by  simple  invagination,  ii.  661 
end-to-end,   by   invagination  method, 
ii.  654 
of    segments    of    unequal    size, 

simple,  ii.  647 

with  mattress  sutures,  ii.  651 
end-to-side,  ii.  665 
for  rectal  prolapse,  iii.  69 
invagination    method,    with    ring    or 

bobbin,  ii.  658 
knitting  needles  for.  ii.  677 
lateral,  ii.  661,  663 

button  method,  ii.  671 

forming  blind  end  in,  ii.  662 

technic,  ii.  663 
rubber  ligature  method,  ii.  675 
with   absorbable   devices,    ii.  675 
with  button,  ii.  667 
with  knitting  needles,  ii.  677 
with  mechanical  devices,  ii.  666 
with  segmented  ring,  ii.  674 
canal,  infections  of,  ii.  569 
exclusion,  ii.  677 
feeding,  ii.  701 

fermentation,  prevention  of,  i.  20 
fistula,  closure  of,  ii.  616 

permanent,  in  lower  small  intestine,  ii. 

68s 
temporary,    ii.  683 
obstruction,  ii.  S95,  599 
acute,  ii.  S95 

enterostomy  for,  ii.  685 
angulation  in,  ii.  600 
at  ileocecal  valve,  ii.  602 
chronic,  ii.  610 
desperate  cases,  ii.  S97 
from  adhesions,  ii.  600 
from  diverticula,  ii.  603 
from  foreign  bodies,  ii.  608 
from  gall-stones,  ii.  608 
from  gangrene,  ii.  609 
from  intussusception,  ii.  604 
from  pericolic  adhesions,  ii.  602 
from  strangulation  by  bands,  ii.  S99 
from  stricture,  ii.  609 
from  valvulus,  ii.  608 
in  peritonitis,  ii.  5S3 
operation  in,  ii.  S95 

after-treatment,  ii.  S98 

preparations  for,  ii.  S9S 
operations,  instruments  for,  ii.  626 
resection,  ii.  636 

anastomosis  after,  ii.  639 
indications  for,  ii.  639 
sinus,  closure  of,  ii.  616 
stasis,  acute,  ii.  614 
chronic,  ii.  610 

colostomy  for,  ii.  S7_4 

dietetic  treatment,  ii.  611 

ileocolostomy  in,  ii.  613 

Kellogg's  treatment,  ii.  610 

kinks  from,  ii.  611 


Intestinal 


57 


Intravesical 


Intestinal  stasis,  chronic,  Lane's  treatment, 
ii.  614 
vaccines  in,  ii.  611 

operation  in,  ii.  61  r 
suture,  ii.  628 

continuous,  ii.  628 

interrupted,  ii.  628 

mattress  interlocking  stitch,  ii.  636 

methods,  ii.  628 

mucosa,  ii.  635 

needles  for,  ii.  627 

omental  grafts  in,  ii.  620 

parallel  continuous  stitch,  ii.  631 

purse-string,  ii.  35 

right-angle  mattress  stitch,  ii.  633 

seromuscular,  ii.  629 
mattress  stitch,  ii.  633 

simple  right-angle  stitch,  ii.  631 

sterilization  of  mucous  membrane  in, 
ii.  630 
to.xemia,  i.  259 

chronic,  ii.  610 
transplantation,  formation  of  new  vagina 

by,  iii-  359 
wall,  cysts  of,  ii.  582 
Intestines,  actinomycosis  of,  ii.  575 
adenoma  of,  polypoid,  ii.  582 
anastomosing  gall-bladder  with,  iii.  125 
anatomy,  ii.  621 
cancer  of,  ii.  583,  588 
contusions  of,  ii.  565 
diverticula  of,  ii.  603 
inflammation  of,  acute  phlegmonous,  ii. 
.574 

irrigation  of,  indications  for,  ii.  571 
large,  anatomy,  ii.  624 

hernia  of,  sliding,  iii.  49 

surface  topography,  ii.  625 
lumen  of,  closure  of,  ii.  681 

by  purse-string  suture,  ii.  681 
transverse,  ii.  682 
operations  on,  ii.  621 

feeding  after,  ii.  778 
perforation  of,  ii.  576 

malignant,  ii.  5S1 

of  gaseous  cysts,  ii.  581 

suppurative,  ii.  581 
preparation  of,  for  operation,  i.   180 
prolapse  of,  ii.  616 
rupture  of,  ii.  566 
sarcoma  of,  ii.  583 
strangulation  by  bands,  ii.  599 
submuscularis-mucous-membrane    occlu- 
sion of.  ii.  682 
suture   of     ii.  628.     See   also   Intestinal 

suture. 
tubercular  perforation  of,  ii.  581 
tuberculosis  of,  ii.  574 
tumors  of,  ii.  582 
ulcers  of,  ii.  576 

wounds  of,  non-perforating,  with  wounds 
of  mesentery,  ii.  568 

perforating,  ii.  567 

suturing,  ii.  635 
Intra-abdominal  fi.xation  of  round  ligaments 

for  retroversion,  iii.  392 
hemorrhage,  postoperative,  ii.  524 


Ijitra-abdominal  saline  infusion,  i.  346 
Intra-articular    fracture    of    lower    end    of 

femur,  i.  653 
Intracanalicular  myxoma  of  breast,  ii.  475 
Intracapsular  extraction  of  immature  cata- 
ract, ii.   171 
Intracellular  saline  infusion,  i.  346 

skin-grafting,  iii.  643 
Intracranial  abscess  of  otic  origin,  ii.  317 
complications  of  infections  of  temporal 

bone,  ii.  318 
diseases,  ii.  42 
hemorrhage,  ii.  S4 

in  newborn,  ii.  60;  iii.  694 
craniotomy  in,  ii.  61 
injuries,  ii.  42 
nerves,  injuries  of,  ii.  63 
operations  on  fifth  nerve,  ii.  105 
for  neuralgia,  ii.  115 
on   seventh   nerve,   ii.  no.     See   also 
Seventh  nerve. 
structures,  wounds  of,  ii.  61 
Intradural  approach  to  hj'pophyseal  tumors, 

iii.  Sig 
Intrahepatic  cholelithiasis,  iii.  113 
Intramuscular  injections  of  ether,  i.  115 
of  magnesium  sulphate  in  tetanus,  i. 

269 
of  mercury  in  syphils,  i.  286 
of  salvarsan  in  syphilis,  i.  297 
Intranasal  treatment  of  sinus  infections,  ii. 

201 
Intra-ocular  edema  of  optic  nerve,  ii.  135 
Intraperitoneal  rupture  of  bladder,  iii.  191 
Intrapulmonary  pressure,  increased  for  op- 
erations through  mediastina  and  pleurie, 
ii.  446 
Intraspinal    injection    of    magnesium    sul- 
phate, i.   161 
in  tetanus,  i.  268 
tumors,  ii.  338 
Intrathoracic  goiter,  ii.  446 
Intratracheal  anesthesia,  i.  125 
insufflation,  iii.  719,  730 
apparatus  for,  ii.  447 
in  electric  shock,  iii.  719 
in  gas-poisoning,  iii.  721 
Intra-u ferine  fractures,  i.  529 
Intravenous  general  anesthesia,  i.   164 
with  magnesium  sulphate,  i.  164 
infusion  into  sagittal  sinus  in  children   i. 
347  . 
salini,  i.  346 

with  colloidal  solutions,  i.  347 
injections,  nutrient,  i.  20 

of  glucose  in  glaucoma,  ii.  132 

of  magnesium  sulphate  in  tetanus,    i. 

269 
of  oxygen,  1.  357 
phlorhizin    test    of    kidnej'    function,  iii. 

143 
serum    treatment    of   epidemic    cerebro- 
spinal meningitis,  iii.  820 
Intraventricular  injection   of  salvarsan  in 

paresis,  i.  296 
Intravesical  operations,  Meyer's  cystoscope 
for,  iii.  197 


Intubation 


58 


Jaw 


Intubation  of  larynx,  ii.   237 
indications  for,  ii.   237 
instruments  for,  ii.   237 
postoperative  care,  ii.  230 
technic,  ii.  238 
Intussusception,  ii.  604 
gangrenous,  ii.  607 
irreducible,  ii.  605 
nongangrenous,  ii.  605 
reducible,  ii.  605 
resection  in,  ii.  607 
Inunctions,  mercurial,  in  syphilis,  i.   286 
Invagination  method  of  end-to-end  intes- 
tinal anastomosis,  ii.  654 
of  segments  of  unequal  size,  ii. 
656 
ofjintestinal  anastomosis,  simple  ii.  661 

with  ring  or  bobbin,  ii.  658 
of  suture  of  artery,  i.  376 
Inversion  of  eyelids,  operations  for,  ii.   143 
of  uterus,  iii.  383 

amputation  for,  iii.  385 
chronic,  iii.  384 
hysterectomy  for,  iii.  385 
recent,  iii.  383 
Inverted  nipple,  ii.  472 
lodin  for  preparation  of  operative  field,  i. 

^^^ 

for  promoting  healing  of  skin,  iii.  812 

in  peritonitis,  ii.  550 

in  soiled  wounds,  i.  186 

in  syphilis,  i.  290 

method  for  sterilizing  catgut,  i.  35 
of  hand  sterilization,  i.  1 74 

powder,  i.  6g 

tincture  of,  as  antiseptic,  i.  68 
lodism  in  syphilis,  i.  291 
Iodized  starch  for  infected  wounds,  i.   242 
Iodoform  as  antiseptic,  i.  69 

emulsion  as  antiseptic,  i.  69 

gauze,  i.  40 
sticky,  i    40 

substitutes,  i.   70 

wicking,  i.  40 
lodoform-balsam  as  antiseptic,  i.  70 
lodoform-coUodion  as  antiseptic,  i.  69 
lodoform-ether  as  antiseptic,  i.  69 
lodoform-glycerin  as  antiseptic,  i.  69 
lodoformin  as  antiseptic,  i.  70 
lodoformogen  as  antiseptic,  i.  70 
lodoformol  as  antiseptic,  i.  _7o 
lodol  as  antiseptic,  i.  70 
lodomuth  as  antiseptic,  i.  70 
lodosyl  as  antiseptic,  i.  70 
lodozen  as  antiseptic,  i.  70 
Ipecac  in  amebic  colitis,  ii.  570 
Iridectomj'.  ii.   154 

combined  with  sclerotomy,  ii.  iS7 

in  glaucoma,  ii.   131,  161 

with  cataract  extraction,  ii.  166 

without  cataract  extraction,  ii.  165 
Iridodialysis,  ii.  129 
Iridotomy,  ii.  155 

V-shaped,  Ziegler's,  ii.  156 
Iris,  adhesions  of,  to  cornea,  ii.  156 

diseases  of,  ii.  129 

extrusion  of,  ii.   121 


Iris,  operations  on,  ii.   154 

tumors  of,  ii.  129 

wounds  of,  ii.  129 
Irish  moss  lubricant,  i.  58 
Iritis,  ii.  129 

diabetic,  ii.  129 

gonorrheal,  ii.  r29 

gouty,  ii.  129 

rheumatic,  ii.  r29 

syphilitic,  ii.  129 
Iritoectomy,  ii.  155 
Iron  chlorid,  as  antiseptic,  i.  72 

foreign    bodies    in    interior    of    eyeball 
removal  of,  ii.  160 

sulphate,  as  antiseptic,  i.  73 

wire  sutures,  i.  38 
Ironing  for  stiff  neck,  ii.  373 
Irreducible  hernia,  iii.  18,  22 
taxis  in,  iii.   22 
dangers,  iii.  22 
Irrigation   apparatus,    extemporized,   i.  88 

in  peritonitis,  ii.  549 

receptacles,  i.  82 
Irritable  prostate,  iii.   248 

spine,  i.  681 

ulcers,  i.  3r3 
Irritating   gases,    poisoning   from,    iii.  721 
Irritative  congestion,  i.  228 
Ischemia,  gravity,  with  elastic  constriction 

for  control  of  hemorrhage,  i.  369 
Ischemic  degeneration  of  muscle,  i.  793 

muscular  paralysis,  iii.  453 
Ischiorectal  abscess,  iii.  62 
Ischium,  dislocations  of  hip  downward  on, 

i.  643 
Isotonic  solutions,  injection  of,  i.  138 
Israel's    method    of    restoration   of  whole 
thickness  of  cheek,  iii.  657 
of    rhinoplasty    with    bone-flap    from 
forearm,  iii.  672 
Itch,    i.  848 
Itrol,  as  antiseptic,  i.  67 
Ivy  poisoning,  i.  825 

Jaboulay's  resection  of  nerve  fiber  sheath 

for  perforating  foot  ulcer,  iii.  494 
Jacket,  plaster-of-Paris,  in  Pott's  disease, 

ii-  329,  335 
Jack's   adaptation   of   Murphy   button  in 

bladder    drainage,    iii.   221 
Jackson's    instruments    for    tracheoscopy 
and   bronchoscopy,   ii.  239 
method  of  direct  laryngoscopy,   ii.  240 

of  superior  bronchoscopy,  ii.   242 

operation  in  cancer  of  breast,  ii.  490 

Janeway's    method    of    gastrostomy    with 

external  flap,  ii.  731 
Jar,  aspirating,  81 

Jaundice,  as  factor  in  operation,  i.  187 
hemolytic,  ii.  785 
hemorrhage  in,  i.  359 
Javel  water,  i.  64 

in  infected  wounds,  i.  247 
Jaw,  fractures  of,  i.  542 

interdental  moulded  splint  in,  i.  542 
lower,  i.  543 

interdental  splint  in,  i.  544 


Jaw 


59 


Keloid 


Jaw,  fractures  of,  lower,  Matas'  splint  in,  i. 

545 
plaster-of-Paris  bandage  in,  i.  544 
wiring  in,  i.  545 
upper,  i.   542 
lower,  ankylosis  of,  Esmarch's  operation 
for,  i.   726 
excision  of  condyle  for,  i.  726 
operations  for,  i.  726 
deformities  of.  with  defective  occlusion, 

ii.  283 
dislocations  of,  i.  618 
backward,  i.  619 
forward,  i.  618 
old  irreducible,  i.  619 
outward,  i.  619 
upward,  i.  619 
division    of,    excision    of    tongue    for 

carcinoma  after,  ii.  297 
excision  of,  i    724 
whole  of,  i.  725 
fractures  of,  bone  grafts  in,  i.  508 
plastic  operation  for  restoration  of,  iii. 

682 
prosthesis  for.  i.  728 
plumper  for,  i.  728 
resection  of,  i.  724 

of  alveolar  process,  i.   725 
of  half  of  body,  i.  724 
and  ramus,  i.  725 
of  segment,  i.  726 
temporary  division  of,  i.  725 
underdeveloped,  ii.  280 
upper,  excision  of,  i.   717 

by  external  incision,  i.  721 
b}-  Langenbeck's  cheek-flap   opera- 
tion, i.  722 
by  mediolateral  incision,  i.  718 
Dieffenbach's  median  operation  for, 

i.   722 
Alalgaigne's   operation,   i.  722 
subperiosteal,  i.  722 
operations    through,    to    reach    naso- 
pharynx, i.  723 
prosthesis  of,  i.   726 
plumper  for,  i.  727 
resection  of,  i.   707 

of  alveolar  process,  i.  723 
of  lower  segment,  i.  722 
of  upper  segment,  i.  723 
Jaws,  ii.   2S0 
both  upper,  simultaneous  e.xcision,  i.   722 
cysts  of,  ii.  286 
defective  occlusion  of,  ii.  2S1 
deformities  of,  ii.  280 
enchondroma  of,  ii.  286 
fibroma  of,  ii.  286 

malocclusion  of,  with  prognathism,  ii.  2S3 
necrosis  of,  ii.  286 
odontoma  of,  ii.  286 
osteoma  of,  ii.  286 
osteomyelitis  of,  ii.  283 
periostitis  of,  ii.  283 
resection    of,    defects    after,    prosthetic 

apparatus  for,  i.  726 
sarcoma  of,  ii.  2S6 
mveloid,  ii.  286 


Jaws,  sarcoma  of,  peripheral,  ii.  286 

tumors  of,  ii.  286 
Jejunal  ulcer,  ii.  580 
Jejunostomy,  ii.  695 

for  duodenal  ulcer,  ii.  578 
indications  for,  ii.  696 
Jejunum,  anatomy,  ii.  624 
Jews,  susceptibility  of,  to  disease,  i.  18 
Jianu's   method   of   gastro-esophagoplasty 

ii.  46s 
Joani's  clamp  for  suture  of  artery,  i.  374 
Joints,  ankylosis  of,  i.  686 

operative  treatment,  i.  686 
cartilages  of,  dislocation  of,  i.  652 
Charcot's  disease  of,  i.  681 
diseases  of,  i.  650 

Bier's  hyperemia  for,  i.  232 
erasion  of,  i.  738 
exposure  of,  i.  738 
fractures  involving,  i.  51S 
hemophiliac,  i.  682 

infections  of,  formalin-glycerin  solutions 
for,  iii.  805 
vaccines  in,  i.  257 
loose  bodies  in,  i.  653 
malposition   of,   due   to   contractures  of 
soft  parts,  i.  6S2.     See  also  Malposi- 
tion oj  joints. 
neuromimesis  of,  i.  681 
neuropathic  conditions  of,  i.  681 
operations  on,  i.  688,  737 

instruments  for,  i.  688-690 
reconstruction    of,    with    fascia    grafts, 

iii.  647 
resection  of,  i.   738 

spermaceti  wax  in,  i.  705 
spinal,  sprains  of,  ii.  324 
stiffness  of,  after  fractures,  i.  525 
transplantation  of,  i.  767 
traumatism  of,  i.  650 
tuberculosis  of,  i.  663.     See  also  Tuber- 
culosis of  joints. 
weak,   operations   to   strengthen,   i.  768 
wounds  of,  i.  654.     See  also  Wounds  of 
joints. 
Judd's  extraperitoneal  suprapubic  approach 
to  bladder,  iii.   172 
operation  for  double  inguinal  hernia,  iii.  37 
Judson's  splint  for  club-foot,  iii.  472 
Jugular  glands,  internal,  ii.  363 

vein,  internal,  wounds  of,  ii.  360 
Jury-mast  in  Pott's  disease,  ii.  333 
Jute  dressings,  i.  42 

Kader's    method    of  gastrostomy,  ii.   734 

Kangaroo   tendon   sutures,   i.  37 

Keen's  incision  for  transpelvic  amputation 

at  hip-joint,  iii.  606 
Kehr's  method  of  reconstructing  common 

duct,  iii.  135 
Kelen  anesthesia,  i.  117 
Kellogg's    treatment    of  chronic  intestinal 

stasis,  ii.  610 
Keloid,  i.   225,  843 

of  acne,  a'-rays  in,  ui.  705 

of  scalp,  ii.  24 

radium  in,  iii.  713,  714 


Kemp 


60 


Knee 


Kemp's  apparatus  for  proctoclysis,  iii.  57 
Kenyon's  method  of  craniotomy,  by  osteo- 
plastic flap  method,  ii.  38 
Kephalin  gauze,  i.  41 

in  hemorrhage,  i.  342 
Keratitis,  ii.  125 
bullosa,  ii.  127 
herpetic,  ii.   127 
hypopyon,  ii.  126 
interstitial,  ii.   127 
neuroparalytic,  ii.  126 
operation  for,  ii.  152 
phlyctenular,  ii.  125 
vascular,  ii.  127 

with  pus  in  anterior  chamber,  ii.  126 
xerotic,  ii.  127 
Keratoconjunctivitis,    nodular    lymphatic, 

ii.  1 25 
Keratoconus,  operations  for,  ii.  153 
Keratosis  from  x-rays,  radium  in,  iii.  714 
obturans  in  external  auditory  canal,  ii. 

306 
of  nasopharynx,  ii.  20S 
pilaris,  i.  841 
Kidney,  iii.  138 
abscess  of,  iii.   148 
anatomy  of,  iii.  138 
arteries,  accessory,  iii    139 

aneurism  of,  iii.   151 
cancer  of,  iii.   151 
colic,  iii.   1 54 
colon  bacillus  infection  of,  iii.   14S 

lavage  in,  iii.  148 
cysts  of,  iii.  151 
decapsulation  of,  iii.  170 
disease  as  factor  in  operation,  i.  181 
exploratory  puncture  of,  iii.  163 
exposure  of,  iii.  157.     See  also  Exposure 

of  kidney. 
fistula,  iii.  154 
fixation  of,  anterior  transperitoneal,  iii. 

170 
floating,    iii.  154 

nephropexy  for,   iii.  155 
functional  activity,   tests  for,  iii.  142 
hemorrhage  from,  iii.  154 
infections    of,    iii.  146 
inflammations  of,  iii.  146 
injuries  of,  iii.  144 

hemorrhage  in,  iii.  144 

infection  in,  iii.  145     > 

nephrectomy  for,  iii.   145 

operative  repair,  iii.  145 
lavage  of,  iii.  189 

indications  for,  iii.   148 
movable,  iii.   154 

extracapsular  fixation  of,  iii.  168 

nephropexy  in,  iii.   154 
operations  on,  iii.  157 
pain  in,  iii.  154 
pelvis  of,  iii.  138 

implantation  of  ureter  into,  iii.   180 

inflammation,  iii.  147 

papilloma  of,  iii.   151 

puncture,  iii.  163 

valvular  obstruction  of,  operation  for, 
iii.  171 


Kidney,  polycystic  degeneration  of;  iii.  131 
preparation  of,  for  operation,  i.   180 
pus,  iii.  148 
rupture  of,  iii.  144 
sarcoma  of,  iii.  151 
septic  infarction  of,  iii.  146 
stone  in,  iii.  152 

operations  in,  iii.  153 
tuberculosis  of,  iii.  149 

nephrectomy  in,  iii.  149,  167 
tumors  of,  iii.  151 
wandering,  iii.  154 

nephropexy  for,  iii.   154 
wounds  of,  iii.   146 
Killian's  instruments  for  tracheoscopy  and 

bronchoscopy,  ii.  239 
operation  for  obliteration  of  frontal  sinus, 

ii.  202-205 
Kimpton-Brown  method  of  indirect  blood 

transfusion,  iii.  817 
Kingsley's  interdental  splint,  in  fractures  of 

lower  jaw,  i.  546 
Klebs-LofiBer  membranous  pharyngitis,  ii. 

207 
Knapp's  expression  operation  in  trachoma, 

ii.  ISO 
methocl  of  cataract  extraction,  ii.   171 
operation  for  pterygium,  ii.  150 

for  staphyloma,  ii.  152 

in  secondary  cataract,  ii.   174 
Knee,  iii.  465 

ankylosis  of,  arthroplasty  for,  i.   766 

with  deformity,  bone  grafts  in,  i    7S7 
arthrectomy  in,  710,  752 
arthrotomy  of,  i.  756 
bandage  of,  adducting  immobilizing,  iii. 
770 

mobilizing,  iii.  769 

triangular,  iii.  792 
congenital  relaxation  of  ligaments,  iii.  466 
disarticulation  of,  by  bilateral  flaps,  iii. 
S92 

by  oblique  incision,  iii.  593 

by  single  long  flap,  iii.  593 

by  unequal  anteroposterior  flaps,   iii. 

593 

dislocations  of,  i.  647.     See  also  Disloca- 
tions of  knee. 

erasion  of,  i.  752 

excision  of,  i.  749.     See  also  Excision  of 
knee. 

housemaid's,  i.  819 

hyperplasia  of  fatty  tissue  of,  iii.  465 

hypertrophy  of  synovial  fringes  of,  iii. 

.465 

intractable  infections,  i.  656 

knock-,  iii.  467.     See  also  Knock-knee. 

opening  of,  i.  752 

bisecting  patella  in,  i.  753 

relaxed,  i.  685 

resection  of,  i.  751 

semilunar  cartilage  of,  dislocation  of,  i. 
652 

sprains  of,  i.  651 

stiffening  of,  arthrodesis  in,  i.  739 

tuberculosis  of,  i.  674.     See  also  Tubercu- 
losis oj  knee. 


Knee-chest 


61 


Laryngectomy 


Knee-chest  position,  iii.  30S 

elevated,  iii.  39S 
Knitting  needles  for  intestinal  anastomosis, 

ii.  677 
Knives,  i.  75 

sharpening,  i.  90 
Knock-knee,  iii.  467 

deformity  in,  bone-grafts  for,  i.   7S7 
epiphyseolysis  for,  iii.  46S 
mechanical  treatment,  iii.  467 
operative  treatment,  iii.  468 
osteoclasis  for,  iii.  46S 
osteotomy  for,  i.   714 
Knots  in  sutures,  preventing  slipping  of,  iii. 
809 
tying,  methods  of,  igo 
with  one  hand,  i.  203 
Kocher's  incision   for  operations  on   gall- 
bladder and  bile-ducts,  iii.  119 
method  of  excision  of  tongue  for  carcin- 
oma, ii.   207 
of  gastroduodenostomy,  ii.  747 
of  nephropexy',  iii.  16S 
of  osteoplastic  amputation,  iii.  526 
of  reducing  hip  dislocations,  i.  644 
shoulder  dislocations,  i.  627 
operation  for  inguinal  hernia,  iii.  34 
Koch's  tuberculins,  i.  257 
Kolle's  operation  for  elongated  lobule  of 
nose,  iii.  685 
for  reducing  size  of  ear,  iii.  652 
Konig's  method  of  osteoplastic  rhinoplasty, 

iii.  670 
Korner's  method  in  radical  mastoid  opera- 
tion, ii.  314 
Kraurosis  of  vulva,  iii.  329 
Krause's  knife  for  operations  on  pituitary 

body,  ii.  87 
Kredei's  metal  bobbins  for  scalp  operations, 

ii.   21 
Kromayer's  mercury  inhalation  treatment 

in  syphilis,  i.  289 
Kronlein's  method  of  approach  to  pancreas, 
ii.  779 
of  cerebral  localization,  ii.  5° 
of  dividing  second  and  third  divisions 
of  fifth  nerve  in  neuralgia,  i.  876 
Kuhnt-Szymanowski  operation   for   ectro- 
pion, ii.  145 
Kyphosis,  ii.  351 

Labarraque's  solution  as  antiseptic,  i.  64 
Labia  majora,  iii.  323 
minora,  iii.  323 

hypertrophy  of,  iii.  329 
Laboratory,  pathologic,  i.  167 
Labyrinthine  disease,  ii.  319 

radical  mastoid  operation  in,  ii.  314 
hemorrhage,  ii.  319 

involvement    following   middle-ear    sup- 
puration, ii.  320 
Lacerated  wounds,  i.  219 

of  joints,  infected,  i.  655 
of  spleen,  ii.  7S4 
Lacerations  of  blood-vessels  in  fractures,  i. 
524  . 
of  cervix,  iii.  334,  362 


Lacerations  of  corpora  cavernosa,  iii.   250 
of  corpus  spongiosum,  iii.   250 
of  lobe  of  auricle,  plastic  operation  for,  iii 

653. 
of  perineum,  iii.  333 

complete,  into  rectum,  iii,  334 
incomplete,  operation  for,  iii.  336 
intermediary  suture,  iii.  335 
plastic  operation  for,  iii.  335 
instruments  for,  iii.  335 
position  for,  iii.  336 
primary  operation  for,  iii.  333 
rupture  of  sphincter  ani  with,  iii.  342 
of  rectum,  old  complete,  iii.  342 
Lacing,  plaster,  i.  55 
Lacrimal  apparatus,  diseases  of,  ii.   136 
operations  on,  ii.  177 
canals,  atresia  of,  ii.  136 
enlargement  of,  ii.  177 
gland,  fistula  of,  ii.  136 
hypertrophy  of,  ii.   136 
inflammation  of,  ii.  136 
prolapse  of,  ii.  136 
removal  of,  ii.   137,  178 

of  palpebral  portion,  ii.  17S 
tumors  of,  ii.  136 
sac,  endonasal  operations  on,  ii.  178 
excision  of,  ii.  178 
fistula  of,  ii.  136 
removal  of,  ii.  136 
sounds,  ii.  177 
Lactation  mastitis,  ii.  473 
Lactic  acid  bacillus  for  leukorrhea,  iii.  370 
treatment  of  infected  wounds,  i.  241 
Lagophthalmos,   ii.   120 
Lagrange's  method  of  combined  iridectomy 

and    sclerotomy,    ii.  157 
Lambda,  ii.  45 
Lambdoid  suture,  ii.  46 
Lambotte's  method  of  drainage  in  ascites, 

ii-  559 
Lamb's  wool  dressings,  i.  42 
Laminectomy,    ii.  339 

for  paralysis  in   Pott's  disease,    ii.  337 
in  medullary  tumors  of  spinal  cord,  ii. 

341 
indications  for,  ii.  339 
lumbar,  in  meningitis,  ii.  70 
osteoplastic,  ii.  344 
postoperative  case,  ii.  343 
results,  ii.  343 
Lane's  bone  plates,  i.  507,  508 
operation  for  cleft  palate,  ii.  261 
treatment  of  chronic  intestinal  stasis,  ii. 
614 
Langenbeck's     cheek-flap     operation     for 

excision  of  upper  jaw,  i.  722 
Laparotomy,   postoperative   treatment,    ii 

529 
sponges,  i.  44 

Laryngeal  anesthesia,  i.  125 

cartilages,  dislocations  of,  ii.  220 
nerve,  recurrent,  anatomy,  ii.  3S0 
puncture,  anesthesia  by,  i.  125 

Laryngectomy,  after-treatment,  ii.  236 
exceptional  conditions  in,  ii.  234 
local  anesthesia  in,  i.   144 


Laryngectomy 


62 


Lewisohn 


Laryngectomy,  one-stage,  ii.  231 

partial,  ii.  231 

phonation  after,  ii.  236 

total,  ii.  231 

two-stage,  ii.  235 
Laryngismus  stridulus,  ii.  221 
Laryngitis,  acute  catarrhal,  ii.  220 

chronic,  ii.  222 

dry,  ii.  222 

hypertrophic  subglottic,  ii.   219 

membranous,  ii.  221 

stridulous,  ii.  221 

tuberculous,  anesthesia  in,  i.  137 
Laryngoscopy,  direct,  ii.  240 
Laryngotomy,  median,  ii.  230 

transverse,  ii.  230 
Laryngotracheotomy,  ii.  227,  230 
Larynx,  ii.  217 

acquired  stenosis  of,  ii.  218 

anatomy,  ii.   217 

artificial,  Gliick's,  ii.  236 

burns  of,  ii.  219 

cancer  of,  ii.  223 

congenital  stenosis  of,  ii.  218 

contusions  of,  ii.  219 

e.xamination,  ii.  217 

foreign  bodies  in,  ii.  224 

fractures  of,  ii.  219 

hemorrhage  from,  ii.  223 

inflammations  of,  ii.  220 

injuries  of,  ii.  219 

intubation  of,  ii.  237.     See  also  Intuba- 
tion of  larynx. 

malformations  of,  ii.  218 

operations  on,  ii.  217,  226 
local  anesthesia  for,  i.  143 

removal  of  foreign  bodies  from,  ii.  244 

spasm  of,  ii.   221 

syphilis  of,  ii.  223 

treatment,   ii.  217 

tuberculosis  of,  ii.  222 

tumors  of,  ii.  223 

wounds  of,  ii    220 
Lateral   curvature   of   spine,   ii.  352.     See 
also  Scoliosis. 

implantation  method  of  intestinal  anas- 
tomosis, ii.  665 

intestinal  anastomosis,  ii.  661,  663 
button  method,  ii.  671 
forming  blind  end  Ln,  ii.  662 
technic,  ii.  663 

perineal  cystotomy,  iii.  219 

position  of  Sims,  iii.  397 

sinuses  of  brain,  ii.  47 

suture  of  arteries,  i.  373 

tarsorrhaphy,  ii.  143 

ventricle  of  brain,  ii.  48 
Lateroflexion  of  uterus,  iii.  385 
Lateroversion  of  uterus,  iii.  385 
Laughing  gas  anesthesia,  i.  117 
Lavage,  duodenal,  ii.  701 

renal,  iii.  189 

indications  for,  iii.  148 

stomach,  ii.  700 
continuous,  ii.  701 
contraindications,  ii.  701 
in  peritonitis,  ii.   547,  550 


Lavage,  stomach,  indications  for,  ii.  701 

method,  ii.  701 
Laxative  encmata,  ii.  620 
Lee's  method  of  testing  donors  for  transfu- 
sion, iii.  814 
Left  inguinal  colostomy,  ii.  686 
Left-sided  appendicitis,  iii.   loi 
Leg,  amputation  of,  iii.  585 

by  oblique  circular  incision,  iii.  588 
cineplastic  stumps  in,  iii.  587 
local  anesthesia  for,  i.  146 
nerve  blocking  in,  i.  154 
osteoplastic,  by  antero-internal  flap,  iii. 

590 
supramalleolar,  iii.  587 
through  lower  third,  iii.  587 
through  middle  third,  iii.  588 
through  upper  third,  iii.  589 

with  bilateral  flaps,  iii.  589 
with  equal  lateral  flaps,  iii.  589 
with  large  external  flap,  iii.  590 
artificial,  simple,  iii.  613 
bandage  of,  iii.   772 
cineplastic  amputation  of,  iii.  538' 
circumcision  of,  in  varicose  veins,  i.  452 
eczema  of,  i.  832 
fractures  of,  in  newborn,  i.  531 
gangrene  of,  in  fractures  of  lower  end  of 

femur,  i.  595 
measurement  of,  in  traction  for  fracture, 

i-  493 

peg-,  iii.  614 

tennis,  i.  788 

ulcers  of,  heliotherapy  for,  iii.  707^ 
Lembert's  simple  right-angle  stitch  in  in- 
testinal suture,  i:.  631 
Lengthening  of  tendons,  i.  799 

subcutaneous,  i.  801 
Lenhartz's  treatment  of  ulcer  ot  stomach,  ii. 

721 
Lens,  crystalline,  diseases  of,  ii.   132 
dislocation  of,  ii.  134 
extraction  of,  without  incision  of  cap- 
sule, in  cataract,  ii.  170 
foreign  bodies  in,  ii.  133 
Lentigo,  i.  840 
Leontiasis  ossea,  i.  471;  ii.  41 
Lepra,  i.  836 
Leprosy,  i.   836 

of  tongue,  ii.  290 
Leptomeningitis,  ii.  65 
Leukemia,  i.  466;  ii.  786 

hemorrhage  in,  i.  360 

myelogenous,  i.  466 

splenic,  .-r-rays  in,  iii.  705 
Leukocythemic  retinitis,  ii.  134 
Leukocytosis   as   factor  in    surgical   treat- 
ment, i.  26 

effect  of  animal  fat  on,  i.  20 
Leukoderma,  i.  843 
Leukoplakia  of  tongue,  ii.  289 
Leukorrhea,  iii.  370 

lactic  acid  bacillus  for,  iii.  370 
Leverage,  artificial,  for  reducing  fractures, 

i.  476 
Lewisohn's   telescoping   esophagoscope,   ii. 

243 


Lewisohn 


63 


Lips 


Lewisohn's  sodium  cilratc  melliod  of  blood 

transfusion,  i,  356 
Lexer's  operation  for  umbilical  hernia,  with 

purse-string  wire  suture,  iii.  44 
Lichen  planus,  i.  82 7 

ruber,  i.  .S27 
Lichenilication  of  skin,  radium  in,  iii.  714 
Ligaments,  broad,  iii.  325 
crucial,  relaxed,  i.  653 

ruptured,  i.  653 
of  knee-joint,   congenital  relaxation,   iii. 

466 
of  spine,  relaxation  of,  ii.  357 

sprains  of,  ii.  357 
recto-uterine,  iii.  325 
round,  iii.  325 
silk,  in  infantile  paralysis  with  drop-foot, 

i.  802 
uterosacral,  iii.  325 
vesico-uterine,  iii.  325 
Ligation,  multiple,  of  varicose  veins,  i.  452 
of  abdominal  aorta,  i.  426 
of  anterior  tibial  artery,  i.  443 
of  arteries,  i.  49 
in  aneurism,  i.  382 
materials  for.  i.  402 
of  head,  incisions  for,  i.  404 
of  neck,  incisions  for,  i.  404 
technic,  i.  401 
of  axillary  artery,  i.  415 

indications  for,  i.  418 
of  brachial  artery,  i.  41S 
of  common  carotid  artery,  i.  406 

at  inferior  carotid  triangle,  i.  407 
at  superior  carotid  triangle,  i.  408 
indications,  i.  408 
slow,  i.  408 
iliac  artery,  i.  426 

extraperitoneal,  i.  426 
of  deep  palmar  branch  of  radial  artery, 

i.  426 
of  dorsalis  pedis  artery,  i.  445 
of  external  carotid  artery,  i.  409 

iliac  arter3',  i.  429 
of  facial  artery,  i.  412 
of  femoral  artery,  i.  431 

for  varicose  veins,  i.  453 
indications,  i.  436 
of  gluteal  artery,  i.  430 
of   infected   veins  in  puerperal  pyemia, 

iii.  371 
of  inferior  thyroid  artery,  i.  410 
of  innominate  artery,  i.  403 

indications,  i.  406 
of  internal  carotid  artery,  i.  410 
iliac  artery,  i.  430 
pudic  artery,  i.  431 
saphenous  veins  for  varicosity,  i.  449 
of  lingual  artery,  i.  411 
of  middle  meningeal  artery  in  extradura' 

hemorrhage,  ii.  56 
of  occipital  artery,  i.  412 
of  ophthalmic  artery,  ii.  137 
of  popliteal  artery,  i.  437 
of  posterior  auricular  artery,  i.  412 
tibial  artery,  i.  441 

in  middle  of  leg,  i.  442 


Ligation   of  pulmonary  artery  in  bronchi- 
ectasis, ii.  420 

of  radial  arteries,  i.  421 

of  sciatic  artery,  i.  431 

of  subclavian  artcrj-,  i.  413 

of  superior  thyroid  artery,  i.  41 1 

of  temporal  artery,  i.  41 2 

of  thyroid  gland,  ii.-393 

of  ulnar  artery,  i.  424 

of  vertebral  artery,  i.  410 

of  wounded  arteries,  i.  338 
Ligatures,  i.  33 

catgut,  i.  337 

in  hemorrhage,  i.  335 
Ligneous  induration  of  neck,  ii.  362 
Limbs,     amputation    of,     in    newborn    in 
utero,  iii.  647 

artificial,  iii. 607 
Lindeman's     method     of     indirect     blood 

transfusion,  i.  353 
Line,  naso-inial,  ii.  46 

nasolambdoidal,  ii.  45 

Sj'lvian,  ii.  46 
Linea  semilunaris,  hernia  through,   iii.  47 
Linear  extraction  of  cataract,  ii.  170J 
Linen  sutures,  i.  38 

tendons,  i.  801 
Lingual  artery,  ligation  of,  i.  411 

nerve,   division  of,  in  neuralgia,   i.   874 

tonsil,  diseases  of,  ii.  290 
Linitis,  plastic,  ii.  702 
Lip,  absence  of,  plastic  operation  for,  iii.  655 

lower,  epithelioma  of,  excision  of  lip  for, 
ii.  252 
incomplete  operation  for,  ii.  250 
operations  for,  iii.  247-254 
resection  of  lip  for,  ii.  251 

notched-,  operation  for,  ii.  273 

plastic  operations  on,  iii.  654 

upper,  carbuncle  of,  i.  253 
Lipoma,  i.  324 

of  abdominal  wall,  ii.  538 

of  brain,  ii.  75 

of  breast,  ii.  475 

of  epigastrium,  ii.  538 

of  peritoneum,  ii.  563 

of  rectum,  iii.  74 

of  scalp,  ii.  24 

of  stomach,  ii.  703 

of  vulva,  iii.  328 

periosteal,  i.  709 
Lipomatosis,  i.  324 
Lipovaccines,  i.  256 
Lips,  angioma  of,  ii.  254 

cellulitis  of,  ii.  246 

chapped,  i.  832;  ii.  246 

cystoma  of,  ii.  254 

eczema  of,  i.  832 

fissure  of,  ii.  246 

herpes  of,  ii.  246 

horny  elevations  of,  ii.  254 

inflaramations  of,  ii.  246 

permanent  enlargement  of,  ii.  255! 

protection  of,  in  general  anesthesia,  i.  100 

tumors  of,  benign,  ii.  254 

ulcers  of,  ii.  246 

wounds  of,  ii.  246 


Liquid 


64 


Locke 


Liquid  chlorin  as  antiseptic,  i.  64 

Liquor  alumini  acetatis  as  antiseptic,  i.  68 

sodee  clilorinatas  as  antiseptic,  i.  64 
Lisfranc's  operation  for  disarticulation  of 

toes,  iii.  580 
Litholapaxy,  iii.  198,  202 
after-treatment,    iii.  202 
Bigelow's  apparatus  for,  iii.  199 
evacuator  for,  iii.   199 
technic,  iii.  199 
Lithotrite,    Bigelow's,    iii.   199 

method  of  introduction,  iii.   230 
Lithotrity,    iii.   ig8 

after-treatment,  iii.  202 
perineal,  iii.  203 
Little  finger,  infections  of,  iii.  448 
Liver,  iii.  105 

abscess  of,  iii.  109.  See  also  jlftjce^i  of  liver. 
actinomycosis  of,  iii.  ir2 
anatomy,  iii.  105 
angioma  of,  iii.  112 
cancer  of,  iii.   112 
cirrhosis  of,  iii.   112 
contusion  of,  iii.   106 
hydatid  cyst  of,  iii.   112 
infections  of,  iii.  109 
malformations  of,  iii.  113 
nutmeg,  ascites  in,  ii.  558 
operations  on,  iii.  109 
prolapse  of,  iii.  113 
resection  of,  iii.   112 
rupture  of,  iii.  106 
spots,  i.  840 
suture  of,  iii.  107 
tuberculosis  of,  iii.  112 
tumors  of,  iii.  112 
wounds  of,  iii.   107 
Living  fascia  as  sutures,  i.  38 
Lobule  of  auricle,  cleft,  ii.  303 
Local  anemia,  anesthesia  by,  i.  155 
anesthesia,  i.  127 
adrenalin  in,  i.  139 
advantages,  i.  127 
akoin  in,  i.   137 
alypin  in,  i.  136 
anesthesin  in,  i.   137 
apothesin  in,  i    137 
by  arterial  infusion,  i.  134 
cocain  in,  i.  134 
cocain-adrenalin  in,  i.  135 
ethyl  chlorid  in,  i.   rs4 
eucain  in,  i.   135 
extraction  of  teeth  by,  i.   141 
for  abdominal  section,  i.   149 
for  amputations  of  leg,  i.   146 
for  appendectomy,  i.  150 
for  gas  ro-enterostomy,  i.   150 
for  nephrectomy,  i.  153 
for  operations  in  femoral  hernia,  i.   150 
in  fracture  of  patella,  i.  147 
in  umbilical  hernia,  i.   150 
on  abdominal  wall,  i.  148 
on  anus,  i.  152 
on  breasts,  i.  148 
on  bronchi,  i.  144 
on  cervical  lymphatics,  i.  145 
on  ear,  i.  r43 


Local  anesthesia  for  operations  on  esopha- 
gus, i.  T44 

on  extremities,  i.   r3o 

on  female  generative  organs,  i.  152 

on  gall-bladder,  i.  150 

on  genito-urinary  organs,  i.   157 

on  head,  i.  140 

on  inguinal  hernia,  i.  150 

on  lower  extremities,  i.-  145 

on  nasal  cavities,  i.  143 

on  neck,  i.  143 

on  palate,  i.  143 

on  penis,  i.  151,  152 

on  perineum,  i.  151 

on  pharynx,  i.  143 

on  rectum,  i.  152 

on  scrotum,  i.  152 

on  testes,  i.  152 

on  thorax,  i.   147 

on  thyroid,  i.  144 

on  toes,  i.  147 

on  tongue,  i.   143 

on  trachea,  i.  143 

on  trigeminal  nerve,  i.  143 

on  upper  extremities,  i.  145 

on  urethra,  i.  rsi 

on  uterus,  i.  152 

on  ventral  hernia,  i.  150 
for  removal  of  skin  grafts,  i.  146 
for  suprapubic  cystotomy,  i.  151 

prostatectomy,  i.  151 
for  tenotomy  of  tendo  Achillis,  i.  147 
for  thoracoplasty,  i.  148 
for  thyroidectomy,  i.  144 
for  tracheotomy,  i.  143 
general  infiltration  in,  i.  132 
holocain  hydrochlorid  in,  i.  137 
in  endolaryngeal  operations,  ii.  218 
in  nasal  operations,  ii.  181 
injection  of  brachial  plexus  in,  i.  145 
magnesium  salts  in,  i.  138 
methyl  chlorid  in,  i.  154 
nerve  injection  in,  i.  131 
nirvanin  in,  i.  137 
normal  salt  solution  in,  i.  139 
novocain  in,  i    136 
of  mucous  membranes,  i.  127 
orthoform  in,  i.  137 
poisoning  in,  i.   138 
preparation  of  patient,  i.  129 
propasin  in,  i.   137 

quinin  and  urea  hydrochlorid , in,  i.  137 
scope  of,  i.  128 
stations  in,  i.  129 
stovain  in,  i.   136 
subcutin  in,  i.  137 
technic,  i.   129 
thymol  in,  i.  137 
tropocain  in,  i.   136 
venous  infusion  in,  i.  132 
anesthetics,  i.   134 
Localization,  cerebral,   Kronlein's  method, 

craniocerebral,  ii.  48 

Chipault's  method,  ii.  48,  49 
Reid's  method,  ii.  49 
Locke's  solution,  i.  58 


Lock -finger 


65 


Lymph-glands 


Lock-finger,  iii.  456 

Locomotor  ataxia,  salvarsan  in,  i.   294 

sciatica  in,  i.  879 
Loose  bodies  in  hip-joint,  iii.  463 

in  joints,  i.  653 
Lop-ear,  plastic  operations  for,  iii.  652 
Lordosis,  ii.  352 

Lorenz's  method  of  manual  correction  of 

club-foot,  iii.  474 

after-treatment,    iii.  476 

dressing  after,  iii.  475 

technic,  iii.  475 

reclining   plaster-bed   in   Pott's   disease, 

"•  327  .     .     .. 

Loreta's  method  of  pylorodiosis,  11.  737 
Lothrop's  operation  in  empj'ema  of  frontal 

sinuses,  ii.  199 
Lousiness,  i.  848 

Lovett's  splint  in  tuberculosis  of  hip,  i.  671 
Low  inguinal  sigmoidostomy,  ii.  690 

tracheotomy,  ii.  228 
Lower  bronchoscopy,  ii.  243 
extremities,  iii.  462 

amputations  of,  iii.  570 

bandages  for,  iii.  767 

fractures  of,  iii.  462 

inflammations  of,  iii.  462 

operations    on,    local    anesthesia    for, 

prosthetic  apparatus  for,  in.  611 
motor,  iii.  611 

tumors  of,  iii.  462 
jaw,  underdeveloped,  ii.  2S0 
lip,  epithelioma  of,  excision  of  lip  for,  ii. 

incomplete    operation    for,     11.  250 
operations  for,  ii.  247-254 
resection  of  lip  for,  ii.  251 
Lowering  of  head  in  hemorrhage,  i.  344 
Lubricant,  Irish  moss,  i.  58 
Lubrication  of  bladder  instruments,  iii.  183 
Ludwig's  angina,  ii.  362 
Lues.     See  Syphilis. 
Lumbago,  ii.  350 

Lumbar  abscess  in  Pott's  disease,  ii.  337 
colostomy,  ii.  695 
hernia,  iii.  47 

laminectomy  in  meningitis,  ii.  70 
puncture,  dangers  of,  in  brain  tumors,  ii. 

77 
in  basal  fractures  of  skull,  i.  536 
in  brain  operations,  ii.  51 
in  epidemic  cerebrospinal  meningitis,  ii. 

67  

in  noninfective  meningeal  effusion,  11. 

68 
in  spinal  anesthesia,  i.  158 
in  tuberculous  meningitis,  ii.  68 
route  for  exposure  of  kidney,  iii.  157 
incision  for,  iii.  157 
position  for,  iii.  158 
vertebrae,  dislocations  of,  i.  622 
Lumbard's  nasal  tubes  for  ether  anesthesia, 

i.  no.  III 
Lumbosacral  pain,  ii.  350 
Lungs,  ii.  413 

abscess  of,  acute,  ii.  414 


Lungs,  abscess  of,  chronic,  ii.  415 
rupturing  into  bronchus,  415 
cysts  of,  echinococcus,  ii.  445 
decortication  of,  in  chronic  non-tubercu- 
lous empyema,  ii.  410 
gangrene  of,  ii.  415 
hypostatic  congestion  of,  in  fractures,  i. 

insufflation  of,  ii.  446 

apparatus  for,  ii.  447 
operations  on,  ii.  453 
operative  exposure  of,  ii.  453 
in  two  stages,  ii.  456 
of  apex,  ii.  456 
resection  of,  in  tuberculosis,  ii.  416 
rupture  of,  ii.  413 

tuberculosis  of,  ii.  416.     See  also  Tuber- 
culosis. 
tumors  of,  ii.  445 
wounds  of,  suturing  of,  ii.  414 

with  penetration  of  chest  wall,  ii.  413 
with  pleural  infection,  ii.  414 
Lupus  erythematosus,  i.  841 
radium  in,  iii.  713,  714 
x-rays  in,  iii.  704 
Finsen  rays  in,  iii.  707 
heliotherapy  for,  iii.  707 
of  pharynx,  ii.  207 
vulgaris,  i.  837 
x-rays  in,  iii.  704 
Luxations  of  tendons  of  quadriceps  femoris 

muscle,  i.  812 
Lymph  nodes,  malignant  metastases  in,  i.  466 
Lymphadenitis,  i-  461 
acute,  i.  461 
chronic,  i.  461 
of  groin,  iii.  459 
tubercular,  i.  461 
Lymphadenoma,  malignant,  i.  464 

.x-rays  in,  i.  465 
Lymphangiectasis,  i.  464 
Lymphangioma,  i.  464 
Lymphangioplasty,  i.  462 
Lymphangitis,  i.  461 
Lymphatic  cysts  of  neck,  ii.  372 
drainage,  i.  463 
nevus,  i.  464 

nodular  keratoconjunctivitis,  ii.  125 
obstruction,  i.  462 

operative  procedures  for,  i.  462 
Lymphatics,  i.  460 

cervical,  operations  on,  local  anesthesia 

for,i.  145 
of  axilla,  ii.  472 
of  breast,  ii.  472 
of  neck,  anatomy  of  ii.  363 
carcinoma  of,  ii.  363 
diseases  of,  ii.  363 
of  stomach,  ii.  699 
rupture  of,  i.  460 
varicose,  i.  464 
wounds  of,  i.  460 
Lymphedema,  i.  462 
in  fractures,  i.  524 
Lymph-glands  of  neck,  tuberculous,  ii.  368 
non-surgical  treatment,  ii.  369 
operation  for,  ii.  370 


Lymphoma 


66 


Maxillary 


Lymphoma,  infective,  i.  464 
x-rays  in,  i.  465 
of  neck,  malignant,  ii.  377 
Lymphorrhagia,  i.  460 
Lysol,  i.  66 

MaCEWEN's  osteotome,  i.   712 

Mac  Lennan's  method  of  skin-grafting,  iii. 

644 
Macrocheilia,  ii.  255 
Macroglossia,  i.  464;  ii.  290 
Macrostoma,  plastic  operation  for,  iii.  655 
Madura  foot,  i.  273 
Magnesite  dressings,  i.  57 
Magnesium   hypochlorite   method   for   in- 
fected wounds,  i.   247 

rings,  absorbable,  for  suture  of  arteries,  i. 
376  ( 

salts  as  local  anesthetic,  i.   138 

sulphate  for  infected  wounds,  iii.  810 
for  inflammations,  i.  234 
in  tetanus,  i.  268 
intraspinal  injection,  i.  161 
intravenous  general  anesthesia  with,  i. 

164 
treatment  of  infected  wounds,  i.  248 
Main  en  griflte,  iii.  455 
Malar  bone,  fractures  of,  i.  54° 
Malarial  hypertrophy  of  spleen,  ii.   7S5 
Male,  impotence  in,  iii.  321 

sterility  in,  iii.  322 
Malformations  of  auricle,  ii.  303 

of  larynx,  ii.  218 

of  liver,  iii.  113 

of  nasal  septum,  ii.  188 

of  trachea,  ii.  218 

of  vagina,  iii.  357 
Malgaigne's  method  for  excision  of  upper 

jaw,  i.   722 
Malignant  emphysema,  i.  270 

gangrene,  i.  270 

glaucoma,  ii.  132 

tumors.     See  Cancer. 

ulcers,  i.  315 
Malleolus,  fractures  of,  bone  grafts  in,  i.  516 
Mallet-finger,  iii.  455 
Malleus,  ii.  299 
Malocclusion  of  jaws  with  prognathism,  ii. 

of  lower  jaw,  ii.  281 
Malposition  of  joints,  i.  682 

artificial  hyperemia  in,  i.  686 
elastic  traction  in,  i.  685 
gradual  manual  correction,  i.  683 
operative  correction,  i.  686 
rapid  manual  correction,  i.  684 
splints  in,  i.  684 
traction  by  weights  in,  i.  684 
of  puncta  lacrimalia,  ii.  136 
Mammary  artery,  internal,  wounds  of,  ii. 

398 
Manipulation  for  club-foot,  iii.  469 
Manson's    method    of    draining    liver    ab- 
scess, iii.  Ill 
Manubrium,  dislocations  of,  i.  549 
Many-armed  bandage,  iii.  782 
Marjolin's  ulcer,  i.  315 


Marsden's  paste  in  cancer,  i.  331 
Martin's  bandage,  for  inflammation,  i.  229 
operation  for  obstructive  aspermia,   iii. 

311 
treatment  of  varicose  ulcers,  i.  311 
Mask,  chloroform,  extemporized,  i.  88 
for  facial  wounds,  iii.  686 
operation,  i.  50 
Massage,  cardiac,  for  syncope,  ii.  430 
in  chronic  inflammation,  i.  249 
in  coccygodynia,  ii.  358 
in  flat-foot,  iii    486 
in  fractures,  i.  500 
of  heart  in  general  anesthesia,  i.  99 

resuscitation  by,  iii.  821 
of  prostate  for  prostatitis,  iii.  230 
suction-traction,  in  chronic  inflammation, 

_i.  250 
vibratory,  iii.   715 
in  neuralgia,  i.  864 
Mass-ligature  in  hemorrhage,  i.  337 
Mastitis,  acute,  ii.  473 
chronic,  ii.  474 
cystic,  ii.  474 
of  male  breast,  ii.  497 
interstitial,  chronic,  ii.  474 
lactation,  ii.  473 
stagnation,  ii.  473 
Mastoid  antrum,  ii.  299 
ceUs,  ii.  299 
operation,  ii.  316,  317 

first  change  of  dressing,  ii.  318 
indications  for,  in  acute  otitis  media,  ii 

3°8  . 
on  babies,  ii.  318 
radical,  ii.  312 

in  labyrinthine  disease,  ii.  314 
indications  for,  in  chronic  suppura- 
tive otitis  media,  ii.  311 
Korner's  method,  ii.  314 
Panse's  method  in,  ii.  315 
technic,  ii.  312 
Mastoiditis,  acute,  operation  for,  ii.  317 
chronic,  operation  for,  ii.  316 

radical,   ii.  312.     See   also   Mastoid 
operation,  radical. 
Matas'  splint  in  fractures  of  lower  jaw,  i. . 

S4S 
Mattress  suture,  i.  195 

end-to-end  intestinal  anastomosis  with, 
ii.  651 
Maunsell's  invagination  method  of  end-to- 
end  intestinal  anastomosis,  ii.  654 
Maxilla,  inferior  condyloid  point  of,  ii.  45 
Maxillary  antrum,  acute  catarrhal  inflam- 
mation of,  ii.  195 
chronic  catarrhal  inflammation  of,  ii. 

195 
drainage  of,  ii.  195 
empyema  of,  ii.  195 
foreign  bodies  in,  ii.  197 
free  opening  of,  ii.  196 
mouth  and,  closure  of  sinuses  between, 

ii.  197 
obliteration  of,  ii.  196 
tumors  of,  ii.  197 
sinus,  ii.  179 


Maydl 


67 


Mercury 


Maydl's  operation  for  exstrophy  of  bladder, 

iiii.  204 
Mayer's     operation     in     osteomyelitis     of 

spine,  ii.  326 
Mayo  Clinic  organization,  iii.  79S 
Mayo    Robson's    combined    vertical    and 

oblique   incision   for  operations   on   bile 

tract,  iii.  120 
Mayo's  method  of  posterior  gastro-entcros- 
tomy,  ii.  767 

operation     for    hallu.x     valgus,     iii.  491 
for  vesicovaginal  fistula,  iii.  348 
McBurney's  intramuscular  gridiron  incision 
for  abdominal  section,  ii.  510 

point,  ii.  510 
McDill's  method  of  partial  excision  of  liver, 

iii.  109, 
McDonald's  solution,   as  antiseptic,   i.  70 
McDowell's   operation   of  ovariotomj',  iii. 

McGraw's  rubber  ligature  method  of  intes- 
tinal anastomosis,  ii.  675 
Meatotom}'  for  stricture  of  urethra,  iii.   288 
Meatus,  external  urinary,  iii.  248 
inferior,  of  nose,  ii.  179 
middle,  of  nose,  ii.   179 
superior,  of  nose,  ii.  179 
Median  abdominal  section,  ii.  510 

low,  by  superficial  transverse  inci- 
sion, ii.  513 
fistulje  of  neck,  ii.  372 
laryngotomy,  ii.  230 
nerve,  injuries  of,  i.  897 
perineal  cystotomy,  iii.  219 
tarsorrhaphy,  ii.   143 
Mediastina,  ii.  444 

exposure  of,  anterior,  ii.  458 

by  median  division  of  sternum,  ii.  459 
posterior,  ii.  459 
operations  on,  ii.  458 

with   increased   intrapulmonary   pres- 
sure, ii.  446 
Mediastinotomy,    cervical,    in    esophageal 

abscess,  ii.  433 
Mediastinum,  abscess  of,  ii.  444 
anterior,  ii.  458 
infections  of,  ii.  444 
middle,  ii.  458 
posterior,  ii.  458 
superior,  ii.  458 
tumors  of,  ii.  446 
Medical   diseases,   natural   tendency  of,  i. 

17. 
Medicated  gauze,  i.  39 
Mediocarpal  joint,   dislocations   of,    back- 
ward, i.  638 
forward,  i.  638 
Medullary  fibroma  of  bones,  i.  709 

tumors   of   spinal  cord,  extrusion  treat- 
ment, ii.  342 
laminectomy  in,  ii.  341 
Megacolon,  ii.  614 
Megalopenis,  ii.  254 
Meibomian  cyst,  ii.  120 
Meltzer's  method  of  insufflation  of  lungs, 

ii.  447 
Members,  avulsion  of,  i.   224 


JNIembrane,  Cargile,  i.  74 
tympanic,  ii.  299 

operations   through,   in    chronic    otitis 

media,  ii.  311 
wounds  of,  ii.  301 
Membranous  cystitis,  iii.   193 
laryngitis,  ii.   221 
pericolitis,  ii.   602 
pharyngitis,  Klebs-Loffler,  ii.  207 
rhinitis,  ii.  186 
stomatitis,  ii.  247 
tonsillitis,  ii.  212 
urethra,  iii.  249 
Menciere's  embalming  treatment  of  infected 
wounds,  iii.  812 
mi.xture  as  antiseptic,  i.  70 
in  gas  bacillus  infection,  i.  271 
Menge's  pessarj-  for  uterine  prolapse,    iii. 

Meniere's  disease,  ii.  319 
Meningeal  artery,  middle,  ii.  47 

ligation    of,    in    extradural    hemor- 
rhage, ii.  56 
effusion,  noninfective,  ii.  68 
sinuses,  injuries  of,  ii.  64 
Meninges,  diseases  of,  ii.  65 
tumors  of,  ii.   75 
wounds  of,  ii.  61 
Meningitis   after    brain   operations,    hexa- 
methylenamin  to  prevent,  ii.  52 
epidemic  cerebrospinal,  ii.  67 
carriers  in,  ii.  67 
Flexner's  treatment,  ii.  67 
intravenous    serum    treatment,     iii. 

820 
lumbar  puncture  in,  ii.  67 
lumbar  laminectomy  in,  ii.  70 
of  otic  origin,  ii.  66 
operative  treatment,  ii.  69 
subdural,  ii.  65 

pyogenic  organisms  in,  ii.  66 
syphilitic,  ii.  68 
tuberculous,  ii.  68 
Meningocele,  ii.  92,  349 

spurious,  ii.  25 
Menorrhagia,  iii.  396 

Menstruation,  function  of,  preservation  of, 
in  diseases  of  FaUopianJtubes,  iii.  430 
painful,  iii.  394 
Mental  state  of  patient  as  factor  in  surgical 

treatment,    i.  24 
INIercurial  bath  in  syphilis,  i.  289 

ulcers  of  tongue,  ii.  290 
Mercurialized  serum  in  syphilis,  i.  2S9,  295 
Mercuric  chlorid  as  antiseptic,  i.  59 

poisoning,  iii.  8o5 
ilercurophen  as  antiseptic,  i.  59 
Mercury  bichlorid  as  antiseptic,  '    59 
for    dilatation    of    esophageal    stricture 

ii-  435 
in  syphilis,  i.  284,  2S5 
benzoate,  iii.  814 

b)'  injection,  i.  289 
bichlorid,  i.  2S5 
by  bath,  i.  289 
by  inunctions,  i.  2S6 
by  mouth,  i.  285 


Mercury 


Microphone 


Mercury  in  syphilis,  chlorid,  injection  of,  i. 
288 
intravenously,  i.  289^ 
dosage,  i.  285 

intramuscular  injections,  i.  286 
iodid   by  injection,  i.  289 
methods  of  administration,  i.  285 
ointment,  i.  286 
oleate,  286 

regulation  of  dose,  i.   286 
salicylate,  by  injection,  i.  286 
salvarsan  following,  iii.  814 
sites  for  injection,  i.  287,  288 
technic  for  injection,  i.  28S 
yellow  iodid,  i.   285 
Mesenteric  blood-cj'sts,  ii.  564 
cysts,  ii.  564 
triangle,  ii.  625 
tumors,  ii.  563,  564 
vein,  superior,  anastomosis  of,  with  vena 

cava,  in  ascites,  ii.  563 
'  essels,  stoppage  of,  gangrene  of  intes- 
tines from,  ii.  609 
Mesentery,  long,  chronic  intestinal  obstruc- 
tion from,  ii.  610 
wounds  of,  ii.  568 

nonperforating    wounds    of    intestine 
with,  ii.  568 
Mesocolon,  elongated,  ii.  616 

transverse,  involvement  of,  in  gastric  can- 
cer, ii.  705 
Mesothorium,  iii.  709 
Mesovarium,  iii.  326 

Metacarpal  bone,  amputation  of,  with  fin- 
ger, iii.  551 
fifth,  amputation  of,  with  little  finger, 

disarticulation  of,  with  little  finger, 
iii-  552 
first,  amputation  of,  with  thumb,  iii. 
SSI 
disarticulation  of,  with  thumb,  iii.  552 
second,    disarticulation   of,    with   first 
finger,  iii.  552 
bones,   disarticulation  of,  at  carpometa- 
carpal joint,  iii.  554 
with  fingers,  iii.  552 
excision  of,  i.   731 
four  inner,  amputation  of,  with  fingers, 

iii-  SSI 
fourth  and  fifth,  ampatation  of,  with 

fingers,  iii._5Si 
fractures  of,  i.  579 
of  fingers,  disarticulation  of,  iii.  553 
resection  of,  i.   731 

second   and   third,   disarticulation   of, 
with  fingers,  iii.  552 
third  and  fourth,  disarticulation  of, 
with  fingers,  iii.  553 
third,  fourth  and  fifth,  disarticulation  | 
of,  with  fingers,  iii.  SS3  ' 

or   fourth,   disarticulation   of,   with 
fingers,  iii.  552 
three  inner,  amputation  of,  with  fin- 
gers, iii._  551 
joints,  arthritis  of,  iii.  450 

tuberculosis  of.  i.  680  1 


Metacarpophalangeal  joint  of  fingers,  dis- 
articulation of,  iii.  546 
of  index  finger,  disarticulation  at,  iii. 

S49 
of  little  finger,   disarticulation?  at,   iii. 

550 
of  thumb,  disarticulation  at,  iii.  548 
Metallic  bands  in  fractures,  i.  506 

bodies   in    wounds,    microphone   for   re- 
moval, i.   224 
braces  in  Pott's  disease,  ii.  333 
plates  in  fractures,  i.  507 
Metastases,  malignant,  in  lymph-nodes,  i. 

466 
Metatarsal  arch  of  foot,  weakness  of,  iii. 
490 
bone,  amputation  of  great  toe  with  all  of, 
iii-  578 
of  little  toe  with  all  of,  iii.  578 
of  toes  with  part  of,  iii.  576 
bones,  all,  amputation  of  all  toes  with 
part  of,  iii.  577 
disarticulation  of  all  toes  with,  iii.  580 
of  two  or  more  adjacent  toes  with, 
iii-  S79 
dislocations  of,  i.  649 
excision  of,  i.  737 
fractures  of,  i.  608 
joints,  tuberculosis  of,  i.  680 
Metatarsalgia,  anterior,  iii.  490 
Metatarsophalangeal    bursa,  inflammation 
of,  iii.  493 
joint,  iii.  575  _ 

disarticulation  of  all  toes  at,  iii.  575 
of  great  toe  at,  iii.  S73 
of  more  than  two  toes  at,  iii.  574 
of  smaller  toes  at,  iii.  574 
first,  excision  of,  i.  755 
Meteorism  after  abdominal  operations,  ii. 

532 
Methyl  clilorid  as  local  anesthetic,  i.  154 
ether  anesthesia,  i.   118 
violet  as  antiseptic,  i.  71 
Methylal  anesthesia,  i.  11 S 
Methylene  bichlorid  anesthesia,  i.  118 

ether  anesthesia,  i.   118 
Methylene-blue    as  urinary  antiseptic,  iii. 
142 
in  acute  anterior  gonorrhea,  iii.  280 
in  inoperable  tumors,  i.  332 
Metritis,  acute,  iii.  370 

chronic,  iii.  372 
Metrorrhagia,  iii    396 

Meyer's  cystoscope  for  intravesical  opera- 
tions, iii.  197 
method  of  resection  of  cardiac  end   of 

stomach,  ii.  758 
operation  in  cardiospasm,  ii.  716 
pneumatic  cabinet  for  negative  and  posi- 
tive pressure  in  thoracic  surgery,  ii.  451 
transverse  abdominal  incision,  ii.  508 
Michel  clamp  for  wounds,  i.  187,  189 
Micrococcus  catarrhalis  vaccines  in  ozena, 

ii.   188 
Micropenis,  iii.  254 

Microphone  for  removal  of  metallic  bodies 
in  wounds,  i.  224 


Microstoma 


69 


Muscles 


Microstoma,  plastic  operation  for,  iii.  656 
Jliddle  car,  ii.  306 

curettage   of,   in   chronic  suppurative 

otitis  media,  ii.  311 
inflammation   of,   acute,   ii.  306.     See 
also  Otitis  media,  acute. 

fingers,  infections  of,  iii.  447 
Midsagittal  point,  ii.  45 
Midzygomatic  point,  ii.  45 
Mikulicz's  gauze  envelope  drain  in  abdomi- 
nal operations,  ii    526 

method  of  pyloroplasty,  ii.  740 
Milium,  i.  845 
Milk  and  molasses  enema,  ii.  620 

fistula,  ii.  474 
Milliner's  needle  for  intestinal  suture,  ii. 

627 
Miotics,  use  of,  ii.  118 
Miscarriage,   retroversion   of  uterus  from, 

iii.  388 
Missing  tendon,  i.  804 
Mixed  enema,  ii.  620 
Mixed-cell  sarcoma  of  bones,  i.  709 
Moan,  expiratory,  in  abdominal  operations, 
iii.  61 

inspiratory,  in  rectal  operations,  iii.  61 
Mobility  of  testicle,  iii.  307 

abnormal,  iii.  307 
Mobilizing  bandage  of  elbow,  iii.  759 

of  knee,  iii.  769 
Moist  gangrene,  i.  317 

heat  method  for  catgut,  i.  36 
Molasses  and  milk  enema,  ii.  620 
Mole,  i.  842 
Moles  of  face,  ii.  115 
Moleskin  plaster,  i.  54 
MoUuscum  contagiosum,  i.  837 
Momburg  and  Busch's  cosmetic  treatment 

of  facial  paralysis,  iii.  687 
Momburg's  belt  constriction  in  hemorrhage, 

i-  363 
in   postpartum   hemorrhage,    1.  365 
Monocular  cataract,  ii.  133 
Mons  veneris,  iii.  323 
Moore-Corradi  treatment  of  aneurism,   i. 

3S2 
Morcellement,  nephrectomy'by,  iii.   167 

vaginal  hysterectomy  by,  iii.  414 
Morestin's  mixture  in  gas  bacillus  infection, 

i.   271 
Moriarty's  interdental  splint  in  fractures  of 

jaw,  i.   S46 
Morison's  bismuth  paste  in  infected  wounds, 
i.  248 
magnesium    sulphate    treatment    of    in- 
fected wounds,  iii.  810 
Morley's  bandage  for  eye,  iii.  7S0 
Morphin    after   abdominal    operations,    ii. 

before  general  anesthesia,  1.  92 

in  inoperable  tumors,  i.  332 

narcosis,  i.  123 
Morton's  disease  of  foot,  iii.  490 

operation  for  obstructive  aspermia,  iii.  311 

universal  scarf  bandage,  iii.  793 
Mosetig-Moorhof's  method  of  filhng  bone 

cavities,  i.  705 


Mosquitoes,  bites  of,  i.  275,  276 
Motais'  operation  for  ptosis  of  eyehds,  ii.  142 
Mother,  syphilitic,  treatment  during  preg- 
nancy, i.  301 
Mother's  marks,  i,  453 
Motor  area  of  brain  cortex,  anatomy,  ii.  44 
electric  reaction  of,  testing  for,  ii.  51 
club  in  cineplastic  amputation,  iii.  531 
electric,  for  bone-grafting,  i.  691 
loop  in  cineplastic  amputation,  iii.  530 
prosthetic  apparatus  for  lower  extremi- 
ties, iii.  611 
for  upper  extremities,  iii.  6o7__ 
stump  in  cineplastic  amputation,  iii.  529 
Mouse-tooth  forceps,  i.   75 
Mouth,  ii.  244 

abnormally  large,  plastic  operation  on, 
iii-  65s 
small,    plastic   operation   for,    iii.  656 
administration  of  liquid  anesthetics  by, 

iii.  807 
examination  of,  ii.  245 
hemostasis  in,  ii.  245 
hygiene  of_,  ii.  245 
inflammations  of,  ii.  246 
insect  bites  on,  ii.  247 
maxillary  antrum  and,  closure  of  sinuses 

between,    ii.   197 
operations  on,  anesthesia  in,  ii.  245 
plastic  operations  on,  iii.  655 
preparation  of,  for  operation,  i.  180 
Mouth-gag,  ii.  245 

for  general  anesthesia,  i.  95 
Mouth-to-mouth  inflation  for  resuscitation, 

iii-  730 
Movable  joints,  prosthetic  apparatus  with, 
without  cineplastic  stumps,  iii.  608 
kidney,  iii.  154 

extracapsular  fixation  of,  iii.   168 
nephropexy  for,  iii.   154 
Moving  unconscious  patients,  i.  1S4 
Moynihan's  angular  clamp  for  pyloroplasty, 

ii-  747  ... 

cream  as  antiseptic,  1.  72 
method  in  intestinal  suture,  ii.  62S 
Mucocele  of  maxillary  antrum,  ii.  197 
Mucosa  suture  of  intestine,  ii..63S 
Mucous  membrane  grafting,  iii.  644,  647 
local  anesthesia  of,  i.   127 
of  cheek,  plastic  operation  for  defect  of, 

iii.  66s 

turning  in  skin  surface  to  take  place  of, 

in  plastic  operations,  iii.  635 

patches  in  syphilis,  treatment,  i.  302 

Mucus  in  trachea  after  operation,  i.  227 

Mueller's  operation  in  osteomyelitis,  i.  701, 

702 
Murphy's   button,    Jack's   adaptation,   for 
bladder  drainage,  iii.  221 
method  of  intestinal  anastomosis,  ii.  667 
incision  in  arthroplasty  of  hip,  i.  764 
treatment   of   gonorrheal   arthritis   with 
formalin-glycerin     injections,     iii.  806 
Muscae    volitantes,    ii.  134 
Muscle  flaps  in  amputation,  iii.  512 
implantation  in  empyema,  ii.  411 
Muscles,  i.  78S 


Muscles 


70 


Neck 


Muscles,  actinomycosis  of,  i.  792 

cicatrix  of,  i.  791 

contractured,  i.  793 

contusions  of,  i.  788 

degeneration,  i.  792 
ischemic,  i.  793 

gangrene  of,  i.  791 

grafting  of,  in  paralysis,  i.  795 

hernia  of,  i.  7S9 

in  hemorrhage,  i.  342 

infections  of,  i.  791 

lacerated,  in  fractures,  i.  524 

moving  forearm,  i.  892 
hand,  i.  893 
scapula  and  arm,  i.  892 

of  eye,  ii.  116 

disorders  of,  ii.   13s 
operations  on,  ii.   174 
paralysis  of,  ii.  135 

paralysis  of,  i.  795 

rubber  prosthesis  in,  i.  796 

rupture  of,  i.  788 

in  dislocations,  i.  612 
old,  i.  789 

spasticity  of,  alcohol  injections  in,  i.   795 

syphilis  of,  i.  792 

tuberculosis  of,  i.  792 

tumors  of,  i.  792 

wounds  of,  i.  791 
Muscular  paralysis,  ischemic,  iii.  453 

spasm  after  fractures,  i.  525 
Musculoperiosteal  flaps  in  amputation,  iii. 

S08 
Musculospiral    nerve,    injuries    to,    i.  896 
Museums  of  security,  iii.  722 
Muslin  bandages,  i.  55 

protective,  oiled,  54 
Mycetoma,  i.  273 
Mycosis  fungoides,  i.  838 
.r-rays  in,  iii.  705 

of  external  auditory  canal,  ii.  304 

of  nasopharynx,  ii.  208 

of  tonsils,  ii.  212 
Mycotic  stomatitis,  ii.  246 
Mydriatics  in  glaucoma,  ii.  11 S 

use  of,  ii.  117 
Myelocystocele,  ii.  349 
Myelogenous  leukemia,  i.  466 
Myeloid  sarcoma  of  gums,  ii.  280 

of  jaws,  ii.  286 
Myeloma,  i.  324  ' 

Myelomeningocele,  ii.  349 
Myoma,  i.  324 

of  prostate,  iii.  246 

of  rectum,  iii.  74 

of  stomach,  ii.  703 

of  uterus,  radium  in,  iii.   712 
Myorrhaphy,  i.  788 
Myositis,  infective,  i.  791 

ossificans,  i.  792 
chronic,  i.  792 
traumatic,  i.  792 
Myxochondrosarcoma  of  bones,  i.   709 
Myxoma,  i.  324 

of  bones,  i.  709 

of  brain,  ii.  75 

of  Breast,  intracanalicular,  ii.  475 


Nail  extension  in  fractures,  i.  495 

finger-,  hemorrhage  under,  iii.  457 
Nailing  in  fracture,  i.  506 
Nails,  atrophy  of,  i.  848 
callosity  of  matrix,  i.  848 
diseases  of,  i.  846 
hypertrophy  of,  i.  848 
infective  inflammation  under  skin,  i.  848 
inflammation  of,  i.  848 
injuries  of,  i.  847 
tuberculosis  about,  i.  848 
Naphthalin  as  antiseptic,  i.  71 
Napier's  brace  for  bow-legs,  iii.  46C 
Narcosis  chart,  i.  96 
morphin,  i.  123 

paralyses  of  brachial  plexus,  i.  895 
scopolamin,  i.  124 
Narcotic  agents,  hypodermic,  i.   123 
Nasal  boil,  i.  273 

bones,  fractures  of,  i.  539 
hematoma  in,  i.  539 
lateral  displacement  in,  i.  539 
rubber  tube  splint  in,  i.  539 
cartilage,  transplanting  of,  ii.   192 
cavities,  infections  of,  ii.  186 

operations  on,  local  anesthesia  for,  i. 
143 
duct,  occlusion  of,  ii.  136 
infections,  specific,  ii.   188 
septum,  ii.  179 
anatomy,  ii.  89 
deflections  of,  ii.  188 
forceps,  ii.  191 
fractures  of,  i.  540 
malformations  of,  ii.  18S 
perforation  of,  ii.   195 
plastic  operation  for  restoration  of,  iii. 

680 
submucous  resection  of,  ii.   190 
speculum,  ii.  181 
splints,  ii.  180 
synechia,  ii.  195 
Nasion,  ii.  45 
Naso-inial  line,  ii.  46 
Nasolambdoidal  line,  ii.  45 
Nasopharyngitis,  hyperplastic,  ii.  205 

syphilitic,  ii.  205 
Nasopharynx,  actinomycosis  of,  ii.  208 
adenoids  of,  ii.  208.     See  also  Adenoids. 
exposure  of,  ii.  216 
fibromata  of,  ii.  208 
glanders  of,  ii.  208 
herpes  of,  ii.   208 
keratosis  of,  ii.  208 
mycosis  of,  ii.  208 
operations  on,  ii.  ,205 

through  upper  jaw  to  reach,  i.  723 
tumors  of,  ii.   208 
Nausea  after  abdominal  operations,  ii.  531 

after  operation  in  appendicitis,  iii.  loi 
Navy  ointment  to  prevent  gonorrhea,  iii. 

279 
Neck,  ii.  360 

abscess  of,  ii.  361 

anatomy  of,  i.  405 

and  axilla,  bandage  of,  iii.   753 

and  head,  bandages  of,  iii.  74: 


Neck 


71 


Nerves 


Neck,  arteries  of,  ligation  of,  incisions  for,  i. 
404 
bandage  of,  iii.  742 
simple,  iii.  750 
thyroid,  iii.   750 
branchial  cysts  of,  ii.  372 

fistul«e  of,  ii.  372 
burns  of,  ii.  373 
bursal  cysts  of,  ii.  372 
cancer  of,  extensive  recurrent,  ii.  494 

secondary,  ii.  372 
cellulitis  of,  ii.  361 

superficial,  ii.  362 
congenital  cysts  of,  ii.  372 
cysts  of,  ii.  372 
echinococcus  cysts  of,  ii.  37^ 
emphysema  of,  ii.  361 
general  injuries  of,  ii.  360 
hemorrhagic  cysts  of,  ii.  372 
infective  processes  in.  ii.  361 
ligneous  induration  of,  ii.  362 
lymphatic  cysts  of,  ii.  372 
lymphatics  of,  anatomy  of,  ii.  363 
carcinoma  of,  ii.  363 
diseases  of,  ii.  363 
lymphoma  of,  malignant,  ii.  372 
median  fistulse  of,  ii.  372 
nerves  of,  wounds  of,  ii.  360 
operations  on,  local  anesthesia  for,  i.  143 

prevention  of  shock,  i.  215 
stiff,  ironing  for,  ii.  373 
tuberculous     lymph-glands     of,     ii.  36S 
non-surgical  treatment,  ii.  369 
technic  of  operation  for,  ii.  370 
tumors  of,  ii.  372 
solid,  ii.  372 
Necrosis  from  paraffin  prosthesis,  iii.  692 
of  bones,  i.  468 
in  fractures,  i.  525 
of  hand,  iii.  450 
of  costal  cartilages,  ii.  398 
of  jaws,  ii.  286 
of  pancreas,  ii.  782 
of  ribs,  ii.  398 
of  tendons,  iii.  450 
Needle  operation  for  cataract,  ii.  169 
Needles,  i.  79 

curved,  how  to  make,  iii.  807 
holders  for,  i.  79 
method  of  threading,  i.  191 
used  for  intestinal  suture,  ii.  627 
Neff's  clamp  in  aneurism,  i.  384 
Negro,  susceptibility  of,  to  disease,  i.  18 
Nfilaton's  method  of  cartilaginous  support 
in  rhinoplasty,  iii.  671 
of  partial  rhinoplasty  with  osteoplastic 
flap,  iii.  678 
Neosalvarsan  in  inoperable  cancer,  i.  332 
in  syphilis,  by  enteroclysis,  i.  297 
oU  injections  of,  i.  297 
Nephralgia,  iii.   154 
Nephrectomy,  iii.  165 
by  morcellement,  iii.   167 
for  injuries  of  kidney,  iii.  14s 
for  tuberculosis,  iii.  167 

of  kidney,  iii.   149 
local  anesthesia  for,  i.  153 


Nephrectomy,  nerve  blocking  in,  i.   153 
partial,  iii.   167 
transperitoneal,  iii.  167 
Nephritic  retinitis,  ii.  134 
Nephritis,  decapsulation  for,  iii.   146 
Nephrolysis,  iii.  170 
Nephropexy,  iii.  168 

for  movable  kidney,  iii.  155 
Nephrotomy,  iii.  163 

silver  wire  suture  in,  iii.  164 
Nerves,  i.  850 
.anterior  tibial,  injuries,  i.  898 
auditory,  injuries  and  diseases  of,  i.  890 
blocking  of,  i.   152 

alcohol  injections  for,  i.  864 

in  amputation  of  leg,  i.  154 

in  nephrectomy,  i.  153 

preliminary,    in    amputation,   iii.    512 
bridging  of,  i.  855 

autoplastic,  i.  855 

heteroplastic,  i.  855 
cervical,  injuries  and  diseases,  i.  890 
circumflex,  injuries,  i.  896 
compression  of,  i.  851 
contusions  of,  i.  851 
difiiculty  in  identifying,  i.  850 
diseases  of,  as  factor  in  operation,  i.   182 
efferent,  i.  861 

external  popliteal,  injuries,  i.  898 
facial.     See  Fifth  nerve. 
grafting  of,  i.  857 

in  facial  paralysis,  i.  8S2 

results,  i.  859 
hypoglossal,  injuries  and  diseases,  i.  893 
implantation  of,  i.  857 

results,  i.  859 
injections  into,  in  local  anesthesia,  i.  131 
injuries  to,  in  dislocations,  i.  611 

in  fractures,  i.  524 
intercostal,  injuries,  i.  S97 
intracranial,  injuries  of,  ii.  63 
median,  injuries,  i.  897 
mi.xed,  i.  861 

musculospiral,  injuries,  i.  896 
of  neck,  wounds  of,  ii.  360 
of  stomach,  ii.   700 

of  upper  extremities,  injuries  to,  i.  S96 
operations  on,  i.  852 
optic,  diseases  of,  ii.   135 
phrenic,  injuries  and  diseases,  i.  891 
pneumogastric,  injuries  and  diseases,  i. 

891 
pressure  on,  anesthesia  by,  i.  155 
recurrent    laryngeal,    anatomy,    ii.  3S0 

injuries  and  diseases,  i.  892 
roots    of,    anesthetic   injection    of,    152. 
See  also  Nerves,  bloeking  oj. 

relation  of,  to  spine,  ii.  323 
sciatic,  injuries,  i.  89S 
spinal  accessory,  diseases  and  injuries,  i. 
890 
resection  of,  in  torticollis,  ii.  376 

posterior  roots  of,  division  of,  ii.  344. 
See  also  Rhholomy. 
operations  on,  ii.  344 
stretching  of,  i.  S60 

in  sciatica,  i.  879 


Nerves 


72 


Newborn 


Nerves,  suture  of,  i.  853 
primary,  i.  853 
secondary,  i.  853,  854 
time  required  to  regain  function  after, 
i.  850    _ 
transplantation    of,    autoplastic,    i.  856 
heteroplastic,  i.  857 
homoplastic,  i.  857 
treatment  of,  in  amputation,  iii.  511 
tumors  of,  i.  880 
ulnar,  injuries,  i.  897 
Nettle-rash,  i.  827 

Neumann's  operation  in  middle-ear  disease 
with   labyrinthine   involvement,    ii.  321 
Neuralgia,  i.  862 

alcohol  injections  in^  i.  864 
brachial,  i.  896 
causes^  i.  863 
cervico-occipital,  i.  890 
coccygeal,  ii.  357 

alcohol  injections  in,  ii.  358 
massage  in,  ii.  358 
removal  of  coccyx  for,  ii.  358 
drug  treatment,  i.  863 
facial,    intracranial   operations   on    fifth 

nerve  for,  ii.  115 
galvanism  in,  i.  864 
intercostal,  i.  897 
local  hyperemia  in,  i.  864 
neurectomy  in,  i.  871 
of  breast,  ii.  473 
of  facial  nerve,  i.  877 
operative  treatment,  i.  865 
osmic  acid  injections  in,  i.  864 
oxygen  injections  in,  i.  865 
percutaneous  injections  in,  i.  864 
postherpetic,  i.  865 
rhizotomy  for  ii.  346 
slow  avulsion  in,  i.  871 
trifacial,  i.  865 

alcohol  injections  in,  i.  866 
in  first  division,  i.  867 
in  Gasserian  ganglion,  i.  S69 
in  second  division,  i.  867 
in  third  division,  i.  868 
results,  i.  870 
division  of  auriculotemporal  nerve  in,  i. 
874 
of.'fif th  nerve  in,  at  entrance  to  bone, 

i;  873 
of  lingual  nerve  in,  i.'  874 
of  second  and  third  divisions  of  fifth 
nerve  in,  i.   876 
of   second   division   of   fifth  nerve   at 
foramen  rotundum  in,  i.  872 
third  division  of  fifth  nerve  in,  i.  873 
at  base  of  skull,  i.  874 
by  temporary  resection  of 
zygoma,  i.  875 
vibratory  massage  in,  i.  864 
Neuralgic  ulcers,  i.  313 
Neurasthenia,  surgical  treatment,  ii.  105 

traumatic,  ii.  103 
Neurectasy,  i.  860 
Neurectomy,  i.  861 
in  neuralgia,  i.  871 
phrenic,  in  bronchiectasis,  ii.  420 


Neuritis,  i.  861 

acute  infective,  i.  862 

irritative,  i.  862 
auto  toxic,  i.  862 
chronic,  i.  862 
non-infective,  i.  862 
orbital  optic,  ii.  135 
syphilitic,  i.  862 
toxic,  i.  862 
traumatic,  862 
Neurofibroma,  i.  324 

Neurofibromatosis,  multiple,  of  scalp,  ii.  24 
Neurolysis,  i.  851 
Neuroma,  i.  324 
Neuromimesis  of  joints,  i.  681 
Neuroparalytic  keratitis,  ii.  126 
Neuropathic  contractions  of  hand  and  fin- 
gers, iii.  453 
paralysis  of  facial  nerve,  i.  881.  See  also 
Facial  paralysis. 
Neurorrhaphy,  i.  853 
primary,  i.  853 
secondary,  i.  853,  854 
time  required  to  regain  function  after,  i. 
854 
Neuroses  of  skin,  i.  843 
posttraumatic,  ii.   102 
surgical  treatment,  ii.  105 
Neurotic  spine,  ii.  355 
Neurotomy,  i.  861 
Neve  and  Bost's  method  of  resuscitation  by 

heart  massage,  iii.  821 
Nevus,  i.  325 
capillary,  i.  453 
lymphatic,  i.  464 
of  abdominal  wall,  ii.  538 
of  breast,  ii.  475 
of  face,  ii.  115 
of  scalp,  ii.  25 

and  face,  iii.  714 
pigmentosus,  i.  842     , 
vascular,  radium  in,  iii.   714 
Newborn,  amputation  of  limbs  of,  in  utero 
iii.  697 
brachial  paralysis  in,  iii.  696 
cephalhematoma  in,  iii.  694 
dislocations  in,  iii.  696 
erysipelas  in,  i.  263 
fractures  in,  i.  529;  iii.  695 
of  clavicle,  i.  530 
of  femur,  i.  530;  iii.  696 
of  forearm,  i.  531 
of  humerus,  i.  529  .fi 
of  leg,  i.  S3i_ 
of  trachea,  iii.  696 
heart  failure  of,  ii.  430 
hemorrhage  in,  spastic  paralysis  from,  iii. 

697 
inguinal  hernia  in,  iii.  18 
injuries  of,  iii.  694 

of  bones  of  skull,  iii.  695 
intracranial  hemorrhage  in,  ii.  60;  iii.  694 

craniotomy  in,  ii.  61 
operations  on,  iii.  694 
simple  indentation  of  skull  in,  iii.  695 
syphilitic,  treatment,  i.  301 
wounds  of,  iii.  697 


New 


73 


Obliteration 


New  growths.     See  Cancer. 
Newman's  apparatus  for  proctoclysis,  iii.  57 
Nicholas'  operation  in  osteomyelitis,  i.  695 
Nicoladoni's  method  in  salivary  fistula,  ii. 

.378 
Nipples,  diseases  of,  ii.  473 

eczema  of,  ii.  473 

fissures  of,  ii.  473 

inflammations  of,  ii.  473 

inverted,  ii.  472 

retracted,  ii.  473 

tumors  of,  ii.  473 
Nirvanin  in  local  anesthesia,  i.   137 
Nitrate  of  silver  as  antiseptic,  i.  66 
Nitric  acid  as  caustic,  i.  74 
Nitrous  oxid  gas  anesthesia,  i.   117 

oxid-carbon  dioxid  anesthesia,  i.  123 

oxid-oxygen  anesthesia,  i.  120 
No-dressing  treatment  of  clean  wounds,  i. 

210 
Nodular  lymphatic  keratoconjunctivitis,  ii. 

Nodules  of  tongue,  tuberculous,  ii.  290 

singers',  ii.  222 
Noesske's  method  of  plastic  reconstruction 
of  fingers,  iii.  458 
of  preventing  gangrene  of  fingers,  iii. 
458 
Noma,    i.  319 
Non-absorbable  ligatures,  i.  33 

sutures,  i.  23 
Non-absorbent  drains,  i.  47 
Non-adherent  dressings,  i.  220 
Non-acute  salpingitis,  iii.  427 
Non-gonorrheal  conjunctivitis,  ii.   122 
Non-infective  meningeal  effusion,  ii.  68 
thrombosis  of  sinuses  of  dura  mater,  ii. 
72 
Non-penetrating     wounds     of     abdominal 
wall,  ii.  535 
of  chest  wall,  ii.  397 
Non-perforating  wounds  of  intestine,  with 

wounds  of  mesentery,  ii.  568 
Non-senile  gangrene,  i.  320 
Non-specific  purulent  conjunctivitis,  ii.   121 
Non-suppurative  otitis  media,  chronic,  ii. 

3.19 

peritonitis,  acute,  ii.  554 
Non-syphilitic  venereal  ulcer,  iii.   251 
Non-tuberculous  empyema,  chronic,  ii.  409 

rarefying  osteitis  of  spine,  ii.  326 
Non-union  in  fractures,  i.  529 
Nose,  ii.  179 

accessory  sinuses  of,  ii.   179 

anatomy  of,  ii.   179 

bleeding  from,  ii.   184 

blowing  of,  in  nasal  infections,  ii.  186 

cavities  of,  infections  of,  ii.   186 

elongated  lobule,  plastic  operation  for, 
iii.  685 

end  of,  plastic  operation  for  restoration 
of,  iii.  679 

foreign  bodies  in,  ii.  188 

hemorrhage  from,  ii.   1S4 

humped-,  plastic  operations  on,  iii.  683 

infections  of,  blowing  nose  in,  ii.  186 

inferior  meatus  of,  ii.   179, 


Nose,  inj'urics  of,  ii.   183 

large  lobule,  plastic  operation  for,  iii.  685 
lateral    deflection    of,    plastic    operation 

for,  iii.  680 
middle   meatus  of,   ii.   179 
misshaped  orifices,  plastic  operation  for, 

iii.  686 
operations   on,   ii.   179 
anesthesia  in,  ii.   181 
antiseptic  preparations  in,  ii.  183 
cleansing  preparations  in,  ii.   183 
hemostasis  in,  ii.   183 
instruments  for,  ii.  180 
local  anesthesia  in,  ii.   181 
vasoconstriction  in,  ii.  183 
plastic  operations  on,  iii.  666 

minor,  iii.  683 
preparation  of,  for  operation,  i.   180 
pug-,  plastic  operation  for,  iii.  6S4 
saddle-.     See  Saddle-nose. 
scab  formation  in,  ii.  187 
septum,  ii.  179 

small  lobule,  plastic  operation  for,  iii.  685 
superior  meatus,  ii.  179 
thick  subseptum,  plastic  operations  for, 
iii.  686 
wings,  plastic  operation  for,  iii.  686 
totally  destroyed,  plastic  restoration  of, 

iii.  666 
tumors  of,  ii.   188 
wounds  of,  ii.  183 
Nosophen  as  antiseptic,  i.  70 
Nostril,  deformed,  with  harelip,  ii.  273 
Nostrils,  large,  plastic  operation  for,  iii.  685 
Notched-lip,  after  operation  for  harelip,  ii. 

273 
Nourishment  as  factor  in  surgical  treatment, 

in  chronic  inflammation,  i.  249 
Novocain  as  local  anesthetic,  i.  136 

as  spinal  anesthetic,  i.  156 
Nurse,  functions  of,  i.   22 

gowns  for,  i.  51 

instrument,  i.   169 

runabout,  i.  169 

sponge,  i.  169 
Nursing  as  factor  in  surgical  treatment,  i.  22 
Nutmeg  liver  in  ascites,  ii.  558 
Nutrient   enemata,   ii.  620 

injections,    i.   20 
Nutritive  disturbances,  i.  321 
Nydegger's  dressing  in  fractures  of  clavicle, 

i.  S54 
Nympha;,  iii.  323 

Oakum  dressings,  i.  41 

Oberst  tuberculin,  i.  258 

Obesity  as  factor  in  operation,  i.   iSo 

Oblique  bandage,  iii.   739 

postmuscular  abdominal  section,  ii.  511 

subcostal  abdominal  section,  ii.  5x3 
Obliterating  angeitis,  gangrene  from,  i.  316 

stricture  of  deep  urethra,  iii.   298 
Obliteration,  gradual,  of  arteries  in  aneur- 
ism, i.  384 

of  frontal  sinus,  ii.  202-205 

of  maxillary  antrum,  ii.   196 


Obliterative 


74 


Operations 


Obliterative  operation  in  aneurism,  i.  3S3 

gradual,  i.  384 
Obstructed  hernia,  iii.  24 
Obstruction  of  intestines,  ii.  5Q5.     See  also 

Intestinal  obstruction. 
Obstru'ctive  aspermia,  iii.  311 

sterility   from,    iii.  311 
Obturator  hernia,  iii.  45 
Occipital  artery,  ligation  of,  i.  412 

glands,  ii.  363 
Occipitofrontal  cravat  bandage,  simple,  iii. 

784 
Occiput  and  atlas,  dislocations  between,  i. 

622 
Occlusion,   defective,  deformities  of  lower 
jaw  with,  ii.  283 
of  jaws,  ii.  281 
of  arteries,  i.  401 
of  cystic  duct,  iii.  115 
of  duodenum,  ii.  6r5 
of  nasal  duct,  ii.   136 
of  ureter,  accidental,  iii.  156 
treatment  of  fistula,  i.  304 
Occupation  as  factor  in  surgical  treatment, 

i.  18 
Ochsner's  method  in  stricture  of  esophagus, 
ii-  436 
treatment  of  appendicitis,  iii.  90 
of  peritonitis,  ii.  548 
Ocular  torticollis,  ii.  377 
Odontoma,  ii.  280 
of  jaws,  ii.   286 
O'Dwyer  method  of  intubating  larynx,  ii. 
237 
instruments  for,  ii.   237 
Oil  enema,  ii.  620 

injections  for  prevention  of  ankylosis,  i. 

756 
of  neosalvarsan  in  syphilis,  i.  297 
of  eucalyptus  as  antiseptic,  i.  72 
olive,  surgical  uses,  i.  58 
Oiled  muslin  protective,  i.  54 

silk  protective,  i.  53 
Oil-ether  rectal  anesthesia,  i.   1 10 
after-effects,  i.  113 
after-treatment,  i.  ri3 
amount  of  anesthetic  used,  i.   ir3 
apparatus  for,  i.  112 
contraindications,  i.  113 
ingredients  for,  proportions,  i.  114 
technic,  i.  112 
Olecranon,  fractures  of,  i.  572 
bone  grafts  in,  i.  511 
fibrous  union  in,  i.  573 
Olfactory  sensory  center  of  brain,  ii.  45 
Olive  bougies,  ii.  434 
oil,  surgical  uses,  i.  58 

to  prevent  adhesions  in  abdominal  op- 
erations, ii.  521 
OUier's   operation   through  upper   jaw   to 

reach  nasopharynx,  i.  724 
Omental  grafts  in  intestinal  suture,  ii.  629 
Omentum,  ii.  620 

adhesions  of,  in  hernia,  iii.  21 

in  abdominal  operations,  ii.  522 
cysts  of,  ii.  620 
liernia  of,  iii.  51 


Omentum,  inflammations  of,  ii.  620 

preservation  of,  in  resection  of  transverse 
colon,  ii.  646 

strangulation  of,  ii.  620;  iii.  24 

torsion  of,  ii.  620 

tumors  of,  ii.  620 
Onychauxis,  i.  848 
Onychia,  i.  848 

maligna,  i.  848 
Onychitis,  i.  848 
Onychomycosis,  i.  848 
Oophoritis,  acute,  iii^  430 

chronic,  iii.  430 
Opacities,  corneal,  ii.  126 

in  vitreous,  ii.  134 
Open  operation  for  reduction  of  dislocation 
of  hip,  i.  616 

tenotomy,  i.  8r3 

treatment  of  infected  wounds,  i.  240 
Open-drop  method  for  ether  anesthesia,  i. 

107 
Operating,  best  time  for,  i.  184 

caps,  i.  5° 

clothes,  surgeons',  i.  51,  173 

masks,  i.  50 

personnel,  arrangement  of,  i.  169 

room,  i.   166 

for  special  operations,  i.   167 

table,  i.  85 

extemporized,  i.  87,  88 
positions  secured  on,  i.  86 
Operations,  i.  17,  184 

arrangement  of  instruments  at,  i.   169 

collapse  during,  i.  218 

dangers  of,  i.  184 

for  ankylosis,  i.  757 

for  coxa  valga,  i.  770 
vara,  i.  770 

for  hemorrhoids,  iii.  70 

for  hernia,  in  two  stages,  iii.  52 

for  radical  cure  of  femoral  hernia,  iii.  38 
of  inguinal  hernia,  iii.  24-38 

in  private  houses,  i.  169 

in  tent,  i.  169 

jackets  for  patient  during,  i.  49 

on  bUe-tract,  iii.  118.     See  also  Bile-tract, 
operations  on. 

on  bladder,  iii.  213 

on  bones  and  joints,  i.  688 

instruments  for,  i.  688-690 

on  conjunctiva,  ii.  149 

on  eye,  ii.  138 

on  eyelids,  ii.  138  . 

on  intestines,  ii.  621 

on  joints,  i.  737 

on  kidney,  iii.  157 

on  liver,  iii.  109 

on  lungs,  ii.  453 

on  mediastina,  ii.  458 

on  nerves,  i.  852 

on  newborn,  iii.  694 

on  nose,  ii.  179 

on  ovaries,  iii.  430 

on  penis,  iii.  255 

on  pharynx  through  neck,  ii.  367 

on  skull,  ii.  26.     See  Skull,  operations  on. 

on  spleen,  ii.  787 


Operations 


75 


Osteotomy 


Operations  on  stomach,  ii.   730 
on  tonsils  through  neck,  ii.  367 
on  ureter,  iii.   157 
on  uterus,  iii.  397 
postures  for,  iii.  307 
preparation  of  patient  for,  iii.  397 
plastic,  iii.  622 
preparation  of  patient,  i.  176.     See  also 

Patient,  preparation  of. 
prevention  of  pain  after,  i.  214 
self-performed,  i.  224 
stockings  for  patient,  i.  48 
suit  for  patient,  i.  94 
time  consumed  in,  i.  184 
to  compensate  loss  of  epiphysis,  i.   769 
to  lengthen  bones,  i.  770 
to  strengthen  weak  joints,  i.   768 
treatment  after,  i.  225 
without  anesthetics,  i.   165 
Operative  field,  preparation  of,  i.   177 
acetone-py.xol  for,  i.   178 
aseptic  mechanical  method,  i.   17S 
iodin  for,  i.  178 
picric  acid  method,  i.   178 
wounds,  i.  184 
of  scalp,  ii.  19 
technic  of  making,  i.  184 
Ophthalmia,  ii.   122.     See  Conjunctimtis. 
Ophthalmic  artery,  ligation  of,  ii.  137 
Opium  in  peritonitis,  ii.  547 
Opsonins,  26 

Optic  nerve,  atrophy  of,  ii.   135 
diseases  of,  ii.   135 
intra-ocular  edema  of,  ii.  135 
syphilis  of,  i.  297 
tumors  of,  ii.  135 
wounds  of,  ii.  135 
neuritis,  orbital,  ii.   133 
papilla,  engorgement  edema  of,  ii.   135 
Orbicularis  muscle,  spasm  of,  ii.   120 
Orbit,  abscess  of,  ii.   137 
diseases  of,  ii.   137 
outer  wall  of,  resection  of,  ii.  163 
periostitis  of,  ii.   137 
punctured  fractures  of  skuU  through,  i. 

537 
sinus  infections  perforating  into,  ii.  201 
transplantation  of  fat  into,  after  enuclea- 
tion, ii.  160 
tumors  of,  ii.  137 
removal,  ii.  163 
Orbital  muscles,  ii.  116.     See  also  Muscles 
of  eye. 
optic  neuritis,  ii.  135 
Orchitis,  chronic,  iii.  305 

suppurative,  iii.  305 
Organic  scoliosis,  ii.  354 

silver  salts  as  antiseptic,  i.  66 
stricture  of  urethra,  iii.  286 
tissues,  filling  bone-cavities  with,  i.   704 
Organs,  transplantation  of,  iii.  648 
Oriental  boil,  i.  273 

sore,  i.  273,  314 
Orthodentistry,  ii.  280 
Orthoform  in  loral  anesthesia,  i.  137 
Os  calcis,  fractures  of,  i.  608 
bone  grafts  in,  i.  517 


Os  calcis,  externum,  iii.  326 

internum,  iii.  326 
Osmic  acid  injections  in  neuralgia,  i.  864 
Osmosis  treatment  of  glaucoma,  ii.  131 
Ossicles  of  ear,  ii.   299 

removal    of,    in    chronic    suppurative 
otitis  media,  ii.  311 
Osteitis,  i.  467 
deformans,  i.  471 
of  bones  of  hand,  iii.  450 
of  cranial  bones,  prevention,  ii.  41 
of   spine,   non-tuberculous,  rarefving,  ii. 

326  ^ 

operations  for,  i.  692 
typhoid,  i.  469 
Osteo-arthritis,  arthrodesis  in,  i.  739 
Osteochondritis,    deforming,    of    hip-joint 

in  children,  iii.  463 
Osteoclasis  tor  bow-legs,  iii.  466 

for  knock-knee,  iii.  468 
Osteogenesis  imperfecta,  i.  471 
Osteoma,  i.  324,  470 
of  jaws,  ii.  286 
of  skull,  ii.  42 
Osteomalacia,  i.  471 
Osteomyelitis,  acute,  i.  469 

autoplastic  operations  with   bone  in,    i. 
698 
with  soft  tissue  in,  i.  697 
chronic,  operation  in,  i.  696 
early,  operation  for,  i.  693 
filling  defects  in,  with, autoplastic  bone- 
flaps,  i.  699 
of  jaws,  ii.   2S3 
of  spine,  ii.  326 
operations  for,  i.  692 

for  loss  of  substance  in,  i.  699 
stages  of,  i.  694 
subacute,  operation  in,  i.  695 
vaccines  in,  i.  257 
Osteoplastic  amputation,  iii.  524 

of  leg  by  antero-internal  flap,  iii.  590 
of  thigh  through  condyles,  iii.  596 
craniotomy,  ii.  30.     See  also  Craniotomy, 

osteoplastic. 
excision  of  elbow-joint,  i.  745 
flap   operations    through   upper   jaw    to 

reach  nasopharynx,  i.  724 
laminectomy,  ii.  344 
operations,  i.  710 

for  cranial  defects,  i.  711 
periostitis,  chronic,  i.  467 
resection  of  anterior  portion  of  palate,  i. 
723 
of  hard  palate,  i.  723 
rhinoplasty,  iii.  669 
thoracotomy,  anterior,  ii.  458 
posterior,  ii.  459 
Osteosarcoma  of  head  and  neck'of  humerus, 
i.   706 
periosteal,  i.  709 
.%--rays  for,   iii.   704 
Osteotome,  Macewen's,  i.  712 

spiral,  Cryer's,  ii.  28 
Osteotomy    combined    with^    resection    of 
long  bones,  i.  716 
cuneiform,  i.   713 


Osteotomy 


76 


Panas 


Osteotomy,   cuneiform,   for    club-foot,    iii. 
481 
for  bow-legs,  iii.  467 
for  genu  valgum,  i.  714 
in  flat-foot,  iii.  487 
of  femur,  i.  713 

in  knee  tuberculosis,  i.  677 
supracondyloid,  from  inner  side,  i.  713 
from  outer  side,  i.  715 
of  long  bones,  i.  711 

technic,  i.  712 
of  lower  end  of  femur,  i.  714 
of  neck  of  femur,  i.  713 

in  old  unreduced  hip  dislocations,  i. 
647    .   . 
of  shaft  of  tibia,  i.  716 

subtrochanteric,  i.  714 
of  tibia,  i.  716 

below  tuberosities,  i.  716 
of  upper  end  of  femur,  i.  713 
Othematoma,  ii.  303 
Otic  abscess,  usual  site,  ii.  50 
Otis'  urethrotome  for  cutting  urethral  stric- 
ture, iii.   292 
Otitis  media,  acute,  ii.  306 

incision  of  tympanic  membrane  in, 

ii.  307 
indications  for  mastoid  operation  in, 

ii.  308 
suppurative,  ii.  307 
chronic  nonsuppurative,  ii.  319 
suppurative,  ii.  308 

bismuth  paste  in,  ii.  310 
curettage  of  middle  ear  in,  ii.  311 
drying  powders  in,  ii.  309 
ear-drops  in,  ii.  309 
gauze  drainage  in,  ii.  309 
hot  air  in,  ii.  309 
operation   in,   indications   for,   ii. 
310 
radical,  ii.  312.     See  also  Mas- 
toid operation,  radical. 
through  membrana  tympani  in, 
ii.  311 
removal  of  ossicles  in,  ii.  311 
suction  treatment,  ii.  310 
vaccines  in,  ii.  310 
labyrinthine  and  perilabyrinthine  in- 
volvement following,  ii.  321 
Oval  method  of  amputation,  iii.  517 
Ovariotomy,  iii.  431 
Ovary,  iii.  326 
cancer  of,  iii.  434 
cystic  degeneration  of,  iii.  431 
cysts  of,  dermoid,  iii.  433 
deficient  secretion  of,  iii.  438 
hematoma  of,  iii.  431 
hernia  of,  iii.  51 
inflammations  of,  iii.  430 
operations  on,  iii.  430 
papillocystoma  of,  iii.  434 
papilloma  of,  iii.  434 
prolapse  of,  iii.  434 
sclerosis  of,  iii.  431 
transplantation  of,  from  one  to  another, 

iii.  438 
tuberculosis  of,  iii.  431 


Ovary,  tumors  of,  iii.  431 
operation  for,  iii.  432 
torsion  of  pedicle,  iii.  434 

Overcorrection  for  club-foot,  iii.  471 

Overfeeding,  dangers  of,  i.  20 

Overlapping  toes,  iii.  491 

Oviducts,  iii.  326 

Oxalic  acid  as  antiseptic,  i.  67 

Oxidation,  sterilization  by,  i.  30 

Oxycephaly,  ii.  42 

Oxygen  after  abdominal  operations,  ii.  531 
anesthetics  combined  with,  i.   120 
for  treatment  of  shock,  i.  216 
injections  in  neuralgia,  i.  865 
interstitial  injections  of,  i.  358 
intravenous  injection  of  i.  357 

Oxymethylene  as  antiseptic,  i.  68 

Ozena,  ii.  187 

paraffin  prosthesis  for,  iii.  691 

Pachymeningitis  externa,  ii.  65 
hemorrhagica,  ii.  57 
syphilitic,  ii.  65 
Pads,  rubber,  i.  53 
Paget's  disease  of  nipples,  ii.  473 
Pain  after  abdominal  operations,  ii.  532 
after  operation  in  appendicitis,  iii.  loi 
areas,  sensory,  i.   128 
in  fractures,  i.  525 
in  kidney,  iii.  154 
in  scars,  i.  225 
lumbosacral,  ii.  350 
postoperative,  i.  226 
prevention  of,  after  operations,  i.  214 
Painful  back,  ii.  350 
feet,  iii.  490 
heel,  iii.  49s 
menstruation,  iii.  394 
stump  in  amputation,  iii.  514 
Palate,  anterior  portion,  osteoplastic  resec- 
tion of,  i.  723 
cleft-,  ii.  257.     See  also  Cleft-palate. 
hard,  osteoplastic  resection  of,  i.  723 
operations  on,  local  anesthesia  for,  i.  143 
perforations  of,  ii.  266 
soft,  abscess  of,  ii.  255 
acute  infections  of,  ii.   255 
adhesions  of,  ii.  256 
diseases  of,  ii.  255 
tumors  of,  ii.   255 
ulcers  of,  ii.  255 
Palmar  branch,  deep,  of  radial  artery,  liga- 
tion of,  i.  426 
fascia,  contracture  of,  iii-  454 

old,  iii.  450 
space,  infections  of,  iii.  449 

middle,  infection  of,  iii.  449 
synovial  sheaths,  iii.  447 
Palpebral  fissure,  canthoplasty  for  enlarg- 
ing, ii.   142 
portion  of  lacrimal  gland,  removal  of,  ii. 
178 
Palsy.     See  Paralysis. 

Bell's.     See  Facial  paralysis. 
Panas'  operation  for  ptosis  of  eyelids,  ii. 
141 
for  staphyloma,  ii.  152 


Pancreas 


77 


Paravertebral 


Pancreas,  ii.  778 
abscess  of,  ii.  781 
anatomy,  ii.  778 
approach  to,  ii.  779 
cysts  of,  ii.  783 
drainage  of,  ii.  780 
necrosis  of,  ii.  782 
tumors  of,  ii.  782 
wounds  of,  ii.  770 
Pancreatic  calculi,  ii.  783 
Pancreatitis,  acute,  ii.  780 
chronic,  ii.  781 
subacute,  ii.  781 
Panhysterectomy   for   fibroid    tumors,    iii. 

420 
Pannus,  ii.  124 
Panophthalmitis,  ii.  130 
Pause's  method  in  radical  mastoid  opera- 
tion, ii.  315 
Paper,  crepe,  bandages  from,  iii.  794 

wool  dressings,  i.  42 
Papilla,  optic,  engorgement  edema  of,  ii.  135 
Papillocystoma  of  ovary,  iii.  434 
Papilloma,  i.  324 
of  bladder,  iii.   196 
of  kidney  pelvis,  iii.  151 
of  ovary  iii.  434 
of  penis,  iii.  253 
of  rectum,  iii.  74 
of  urethra,  iii.  272 
of  urinary  bladder,  fulguration  for,  iii. 

700 
of   vulva,   iii.  327 
Papillomatous  cysts  of  breast,  ii.  477 
Paquelin  cautery,  i.  80 
Paracentesis  in  ascites  of  cirrhosis  of  liver, 
iii.  112 
of  cornea,  ii.  152 
of  right  auricle,  ii.  425 
ventricle,  ii.  425 
ParaiEn  injections  in  rectal  prolapse,  iii.  68 
in  saddle-nose,  ii.  194 
method  for  catgut,  i.  36 
occlusion  treatment  of  burns,  i.  823 
prosthesis,  iii.  688 

absorption  of,  iii.   692 
complications,  iii.  691 
cosmetic  injections,  iii.  691 
dangers  of,  iii.  689 
diffusion  of,  iii.  692 
disadvantages,  iii.  691 
embolism  from,  iii.  691 

prevention,  iii.  692 
escape  of  injected  material  in,  iii.  692 
for  hernia,  691 
for  incontinence  of  feces,  iii.  691 

of  urine,  iii.  691 
for  ozena,  iii.  691 
for  prolapse  of  uterus,  iii.  691 
general  surgical  uses,  iii.  691 
hyperplasia  from,  iii.  692 
irritative  reaction  from,  iii.  692 
material  for,  iii.  689 
necrosis  from,  iii.  692 
nervous  disturbances  from,  iii.  692 
phlebitis  from,  iii.  692 
skin  redness  from,  iii.  692 


ParafSn     prosthesis,    sloughing'  from,    iii. 
692 
syringe  for,  iii.  690 
technic  of  operation,  iii.  690 
uses  of,  iii.  689 

yellow  discoloration  of  skin  from,  iii. 
692 
Paraffined  gauze,  i.  41 
linen  sutures,  i.  38 
paper  protective,  i.  54 
silk  sutures,  i.  38 
Paraform  as  antiseptic,  i.  68 
Paraformaldehyd  as  antiseptic,  i.  68 
Paralysis   agitans,    rhizotomy   for,    ii.  348 
brachial    birth,    i.  894;    iii.  696 
crutch,  in  fractures,  i.  527 
facial,  i.  881.     See  also  Facial  paralysis. 
grafting  muscles  in,  i.  795 
in  fractures,  i.  525 
in  Pott's  disease,  ii.  337 
infantile,  arthrodesis  in,  i.  738 

withdrop-foot,  silk  ligaments  in,  i.  802 
ischemic  muscular,  iii.  453 
narcosis,  of  brachial  plexus,  i.  895 
of  biceps  of  arm,  tendon  transplantation 

in,  i.  812 
of  deltoid  muscle,  i.  795 
of  extensors  of  hand,  tendon  transplanta- 
tion in,  i.  812 
of  facial  nerve,  neuropathic,  i.  881.     See 

also  Facial  paralysis. 
of  muscles,  rubber  prosthesis  in,  i.  796 
of  quadriceps  extensor  of  thigh,  tendon 

transplantation  in,  i.  8r2 
of  trapezius  muscle,  i.   795 
spastic,  from  hemorrhage  in  newborn,  iii. 
697 
rhizotomy  in,  ii.  346 
traumatic,  in  general  anesthesia,  i.   100 
Paralytic  calcaneus,  iii,  484 

dislocation  of  hip-joint,   bone  grafts  in, 
i.  783 
of  shoulder,  i.  634 
equinovarus,  iii.  480,  484 
equinus,  iii.  483 
ileus,  ii.  552 

pituitrin  in,  ii.  553 
scoliosis,  bone  grafts  in,  i.  782 
talipes,  acquired,  iii.  482 

calcaneus,  tendon  transplantation  in, 

i._8i2 
equinus,    tendon    transplantation    in, 

i.  812 
valgus,  iii.  4S4 

tendon   transplantation   in,   i.  Sii 
varus,  tendon  transplantation  in,  i.  Si 2 
toe-drop,  iii.  488 
torticollis,  ii.  377 
Paraphimosis,  iii.  253 
Parasacral  anesthesia,  i.   162 
Parasites,  animal,  of  skin,  i.  S48 
Parasitic  stomatitis,  ii.  246 
Parathyreopriva,  ii.  394 
Parathyroid  glands,  anatomy,  ii.  3S0 
diseases  of,  ii.  394 
transplantation  of,  ii.  394 
Paravertebral  anesthesia,  i.  152 


Parenchymatous 


78 


Penis 


Parenchymatous  acute  glossitis,  ii.  288 

senile  hypertrophy  of  breast,  ii.  475 
Parents,  syphilitic,  prophylactic  treatment 

before  conception,  i.  301 
Paresis,  general,  salvarsan  in,  i.  294 

salvarsan  in,   intraventricular  injection, 
i.   296 
Parkhill's  operation  for  reducing  size  of  ear, 

iii.  652 
Paronychia,  i.  S48;  iii.  442 
Parotid  glands  ii.  363 
abscess  of,  ii.  379 
anatomy,  ii.  377 
cellulitis  of,  ii.  379 

salivary  fistula,  ii.  377 
Parovarian  cystoma,  iii.  434 

tumors,  iii.  434 
Pars  anterior  of  pituitary  body,  ii.  83 

intermedia  of  pituitary  body,  ii.  83 

nervosa  of  pituitary  body,  ii.  83 
Partial  abdominal  hysterectomy,  iii,  418 

cataract,  ii.  133 

laryngectomy,  ii.  231 

nephrectomy,  iii.  167 

vasectomy,  iii.  320 
Passive  hyperemia  for  infections  of  extremi- 
ties, iii.  44S 

motion  in  chronic  inflammation,  i.   249 
Paste,  adhesive,  i.  55 

Alexander's  for  burns,  iii.  807 

bismuth.     See  Bismuth  paste. 

Delbet's  for  wound  dressings,  iii.  807 
Pasteur  treatment  of  hydrophobia,  i.  273 
Patella,    ankylosis  of,  arthroplasty  for,  i. 
767 

bisecting  of,  in  opening  knee-joint,  i.  753 

dislocations  of,  i.  648 
congenital,  i.  618 
habitual,  bone  grafts  in,  i.   787 

excision  of,  i.  732 

fractures  of,  i.  596-     See  also  Fractures  of 


pad,  inflamed,  i.  653 
strengthening  of,  i.  733 
Patient,  care  of,  as  factor,  after  operation,  i. 
26 
during  operation,  i.   182 
in  general  anesthesia,  i.   loi 
color  of,  in  general  anesthesia,  i.  99 
mental  state  of,  as  factor  in  surgical  treat- 
ment, i.  24  ^ 
operation  suit  for,  i.  94 
preparation  of,  dangers  of  purging  in,  iii. 
808 
for  abdominal  operations,  ii.  499 
for  anesthesia,  i.  92 
for  local  anesthesia,  i.  129 
for  operation,  i.  176 

on  alimentary  canal,  ii.  564 
for  special  operations,  i.   180 
in  emergency,  i.  180 
unconscious,  moving  of,  i.  1S4 
Peat  dressings,  i.  42 
Pediculosis,  i.  848 
Pediculus  capitis,  i.  848 
corporis,  i.  84S 
pubis,  i.  848 


Pedunculated  flaps,  plastic  operations  with, 

iii-  635 
Pegging  fragments  in  fractures,  i.  506 
Peg-legs,  iii.  614 
Pelvic  abscess,  iii.  459 
aneurism,  i.  398 
disease,  chronic,  iii.  372 

epidural  injections  in,  iii.  461 
hernia,  iii.  48 

outlet,  puerperal  injuries  of,  iii.  ^^^ 
varicocele,  iii.  426 

veins,    excision    of,    in    septic   thrombo- 
phlebitis, i.  456 
Pelvis,  iii.  459 

bandage  of,  diaper,  iii.   782 
bones  of,  resection  of,  i.  732 
cancer  in,  radium  in,  iii.  714 
fractures  of,  i.  582 
of  kidney,  iii.  138 
papilloma  of,  iii.   151 
puncture  of,  iii.  163 
support  for  bandaging,  iii.  767 
tumors  of,  iii.  460 
wounds  of,  iii.  459 
Pemphigus,  i.  830 
Pendjeh,  sore,  i.   273 
Pendulous  abdominal  wall,  ii.  540 
Penetrating  wounds  of  abdominal  wall,  ii 
535 
of  chest  wall,  ii.  397 
of  esophagus,  ii.  431 
of  heart,  ii.  429 
of  uterus,  iii.  360 
Penetration  of  chest  wall,  wounds  of  lung 

with,  ii.  413 
Penhallow's  splint  in  fractures  of  shaft  of 

humerus,  i.  561 
Penholder  hold  of  operating  scalpel,  i,  185 
Penile  urethra,  iii.   249 
injuries  of,  iii.  250 
Penis,  iii.  248 
adherent,  iii.  255 
amputation  of,  iii.  255 
anatomy,  iii.  248 
anomalies  of,  iii.   253 
bandage  of,  iii.  776 
cancer  of,  iii.  253 

amputation  for,  iii.  255 
extirpation  for,  iii.  256 
chancre  of,  iii.  252 
contusions  of,  iii.  250 
curvature  of,  iii.   254 
dislocation  of,  iii.   250 
dorsum,  iii.   248 

erection  of,  uncontrollable,  iii.  254 
extirpation  of,  iii.  256 
fracture  of,  iii.  250 
gangrene  of,  iii.  252 
hypertrophy  of,  iii.  254 
inflammation  of,  simple,  iii.  251 
ligation  of  dorsal  vessels,  iii.  255 
neck  of,  iii.  248 
operations  on,  iii.  255 

local  anesthesia  in,  i.  151,  152 
papilloma  of,  iii.  253 
pathologic  conditions,  iii.  253 
preparation  for,  i.  180 


Penis 


79 


Peritoneum 


Penis,  root  of,  iii.  24S 
rudimentary,  iii.  254 
sclerosis  of  erectile  bodies,  iii.  255 
strangulation  of,  iii.  251 
tumors  of,  iii.  252 
warts  of,  iii.  253 
webbed,  iii.  2 
wounds  of,  iii.  250 
Pental  anesthesia,  i.   11 S 
Percentage  urea  test  of  kidney  function,  iii. 

144 
Percutaneous    injections    in    neuralgia,    i. 

864 
Percy's  cautery  method  for  cancer  of  uterus, 
iii.  423 
radical  cautery  operation   for  cancer  of 
breast,  ii.  4g2 
Perforating  duodenal  ulcer,  ii.  579 
ulcer  of  foot,  iii.  494 
of  stomach  ii.  726 
typhoid,  ii.  580 
wounds  of  intestines,  ii.  567 
Perforation  between  bile-tract  and  gastro- 
intestinal tract,  iii.  116 
of  bile-ducts,  iii.  114 
of  colon,  ii.  582 
of  gall-bladder,  iii.  114,  116 
of  gaseous  cysts,  ii.  581 
of  intestines,  ii.  581 
of  intestines,  ii.  576 
malignant,  ii.  5S1 
suppurative,  ii.  581 
tuberculous,  ii.  581 
of  nasal  septum,  ii.   195 
of  palate,  ii.  266 
of  stomach,  perigastric  abscess  from,  ii. 

of  uterine  wall  in  curettage,  iii.  401 
Perforative  appendicitis,  iii.   100 
Perhydrol  as  antiseptic,  i.  68 
Peri-articular    bursitis    of    shoulder-joint, 

iii-  45 1 
Pericardial  adhesions,    cardiolysis    for,   ii. 

424 
Pericardiocentesis,  ii.  422 
Pericardium,     ii.  422 

empyema  of,  ii.  423 

operative  exposure,  ii.  424 

serous  effusion  in,  ii.  422 

tumors  of,  ii.  445 

wounds  of,  ii.  422 
Pericardotomy  for  serous  effusion,  ii.  423 

in  empyema,  ii.  423 
Pericecal  hernia,  iii.  50 
Perichondritis,  ii.  223 

of  auricle,  ii.  303 
Pericolic  adhesions,  ii.  602 

veils,  ii.  602 
Pericolitis,  ii.  576 

membranous,  ii.  602 
Pericranial  pneumatocele,  ii.  24 
Perior's  method  of  laryngectomy,  ii.  234 
Perigastric  abscess  from  perforation  of 
stomach,  ii.   727 

adhesions,   ii.  702 
Perilabyrinthine  involvement  following 

middle-ear   suppuration,    ii.  320 


Perineal  cystotomy,  iii.  217 

for  hypertrophy  of  prostate,  iii.  232 
lateral,  iii.  218 
median,  iii.   2ig 
drainage  of  bladder,  iii.  220,  222 
lithotrity,  iii.   203  . 
prostatectomy,  iii.  234 
for  cancer,  iii.   247 
hemorrhage  in,  iii.  236 
incision  for,  iii.  235 
protectors,  i.  48 

urethrotomy,  external  s i m p  1  i fi e d,   of 
Barney,  iii.  296 
Perineorrhaphy,  iii.  335-342 
Perinephric  abscess,  iii.  146 
Perineum,  laceration  of,  iii.  33^.     See  also 
Lacerations  of  perineum. 
operations   on,    preparation    for,   i.   180 

local  anesthesia  in,  i.  151 
ruptures  of,  iii.  333 

urinary  infiltration   of,   retention   from 
iii.  211 
Perionychia,    i.  848 
Perioophoritis,  iii.  430 
Periosteal  fibroma,  i.  709 

flaps,  amputation  with,  iii.  510 
lipoma,  i.  709 
osteosarcoma,  i.  709 
Periosteum,  elevation  of,  i.  688 

interposition  of,  for  ankylosis,  i.  759 
treatment  of,  in  amputation,  iii.  512 
Periostitis,  i.  467 
acute,  i.  467 
chronic,  i.  467 

osteoplastic,  i.  467 
of  cranial  bones,  prevention,  ii.  41 
of  jaws,  ii.  283 
of  orbit,  ii.  137 
operations  for,  i.  692 
Periotomy  in  vascular  keratitis,  ii.   127 
Peripheral  injections  in  inoperable  cancer,  i 

333 
sarcoma  of  jaws,  ii.  286 
Perithelioma  of  bones,  i.  710 
Peritoneal  abscess,  chronic,  ii.  554 
collapse,  ii.  549 

fixation  of  uterus,  anterior,  for  retrover- 
sion, iii.  393 
sac,  foreign  bodies  in,  ii.  544 
Peritoneum,  ii.  498,  541 

anastomosis  of  saphenous  vein  with,   in 

ascites,  ii.  560 
anatomy,  ii.  S4i 
closure  of,  in  abdominal  operations,   ii. 

516 
denuded  surfaces  of,  ii.  542 
fibroma  of,  ii.  563 
injuries  of,  ii.  542 
lipoma  of,  ii.  563 
protection  of,  in  abdominal  operations,  ii . 

sarcoma  of,  ii.  564 

toilet    of,    in   abdominal    operations,    ii. 

transplantation,  iii.  64S 
traumatism  of,  ii.  542 
tumors  of,  ii.  557 


Peritonitis 


Phlyctenular 


Peritonitis,  ii.  546 
acute,  ii.  546 
general,  ii.  548 
local,  ii.  548 
nonsuppurative,  ii.  554 
septic,  ii.  .548 
adhesions  in,  ii.  546 
best  time  for  operation  in,  ii.  546 
calcium  hypochlorite  in,  ii.  551 
camphorated  oil  in,  ii.  551 
chlorinated  oil  in,  ii.  551 
dichloramin  in,  ii.  551 
diffuse  suppurative,  appendicitis  with,  iii. 

100 
drainage  in,  ii._  S47,  S4Q 
gastric  lavage  in,  ii.  547,  550 
hypodermoclysis  in,  ii.  550 
intestinal  obstruction  in,  ii.  533 
iodin  in,  ii.  550 
irrigation  in,  ii.  546,  549 
local  suppurative,  ii.  548 
localized  abscess  in,  ii.  553 
of  duodenal  region,  ii.  557 
operation  in,  ii.  549 ' 
opium  in,  ii.  547 
period  of  constitutional  reaction  in,   ii. 

547 
prevention  of  spread,  ii.  546 
proctoclysis  in,  ii.  547 
rectal  injections  in,  ii.  549 
secondary  abscess  in,  ii.  553 
sodium  hypochlorite  in,  ii.  551 
subphrenic  abscess  in,  ii.  553 
suction  drainage  in,  ii.  549 
sulphuric  ether  in,  ii.  551 
suppurative,  local,  ii.  548 
tuberculous,  ii.  554 
acute  miliary,  ii.  554 
dry,  ii.^  554 

exudative,  with  serum,  ii.  554 
suppurative,  ii.  556 
vasomotor  disturbance  in,  ii.  549 
Peritonsillar  abscess,  ii.  212 
Perityphlitis,  ii.  576 
Perleche,  i.  829 
Permanent  drainage  of  bladder,  iii.  221 

fecal  fistula,  ii.  687 
Permanganate  of  potash  as  antiseptic,  i.  67 

method  of  hand  sterilization,  i.  174 
Pernicious  anemia,  ii.  785 
in  hemorrhage,  i.  360 
Pernio,  i.  319,  826 

Peroneus   longus,    transplantation    of,    for 
tibialis  anticus;  i.  810 
tertius,  transplantation  of  tibialis  anticus 
for,  i.  810 
Peronin  in  eye  diseases,  ii.  11 S 
Peroxid  of  hydrogen  as  antiseptic,  i.  68 
Peroxid-phenol,  hot,  in  infected  wounds,  i. 

Persistent  cloaca,  iii.  357 
Perspiration,  abnormal  odor  of,  i.  844 

diminished,  i.  844 

excessive,  i.  844 
of  hands,  i.  849 
Pes  cavus,  iii.  482 

planovalgus.  iii.  485 


Pes  planus,  iii.  4S5 

valgus,  iii.  485 
Pessary  in  dysmenorrhea,  iii.  395 

in  retroversion  of  uterus,  iii.  387,  388 

Smith-Hodge,  iii.  388 
Peterson's  method  of  drainage  in  ascites,  ii. 

559 
Pfannenstiel's   method  of  suprapubic  cer- 
vical Cesarean  section,  iii.  408 
Phagedenic  gangrene,  i.  319 

ulcers,  i.  313 
Phagocytosis  as  factor  in  surgical  treatment, 

i.  26 
Phalangeal  joints,  tuberculosis  of,  i.  680 
Phalanges,  bone-grafts  of,  i.  786 

dislocations  of,  i.  649 

excision  of,  i.  731 

fractures  of,  i.  580,  608 

of  toes,  end,  disarticulation  of,  iii.  572 

proximal,  of  fingers,  dislocations  of,  i.  639 

resection  of,  i.  731 
Phalanx  of  finger,  first,  amputation  through, 
iii.  546 
last,  amputation  through,  iii.  545 

disarticulation  of,  iii.  54s 
second,  amputation  through,  iii.  543 

of  toe,  first,  amputation  through,  iii.  573 

proximal,  of  thumb,  dislocation  of,  i.  639 
Pharyngeal  insuiilation  in  ether  anesthesia 

i.  no 
Pharyngitis,  membranous,  Klebs-Loffler,  ii. 

207 
Pharyngotomy,  lateral,  ii.  368 

subhyoid,  ii.  229 

suprahyoid,  ii.   229 
Pharynx,  anesthesia  by,  i.   124 

foreign  bodies  in,  ii.  216 

lupus  of,  ii.  207 

operations  on,  by  local  anesthesia,  i.  143 
through  neck,  ii.  367 

tuberculosis  of,  ii.  207 
Phenol,  i.  65 

gangrene,  i.  320 

gauze,  i.  40 

halogen  derivatives,  i.  60 

in  tetanus,  i.  268 

injections  in  hemorrhoids,  iii.  69 

liquefied,  in  soiled  wounds,  i.  186 
Phenol-camphor  treatment  for  boils 

of  infected  cavities,  i.    234 
Phenolized  glycerin  as  antiseptic, 
Phenolsulphonephthalein    test    of 

function,  iii.  142 
Phimosis,  iii.  253 
Phlebitis,  i.  447 

acute,  i.  447 

from  paraffin  prosthesis,  iii.  692 

non-infective,  i.  447 
Phlebotomy,  i.  433.     See  also   Venesection. 
Phlegmon,  sublingual,  ii.  362 

woody,  ii.  362 
Phlegmonous  erysipelas,  i.  262 

gastritis,  ii.  702 

inflammation  of  intestines,  acute,  ii.  37  \ 
Phlorhizin  tests  of  kidney  function,  iii.  143 
Phlyctenular  conjunctivitis,  ii.  123 

keratitis,  ii.  123 


'•  233 


,  66 
kidney 


Phonation 


Plastic 


Phonation  after  laryngectomy,  ii.  236 
disturbed,    after   cleft-palate   operation, 
ii.  266 
Phosphorus  necrosis  of  bones,  i.  468 
Phrenic  nerve,  injuries  and  diseases  of,  i.  891 

neurectomy  in  bronchiectasis,  ii.  420 
Physostigmin    salicylate  as  miotic,  ii.  118 
Pia  mater,  anatomy,  ii.  43 
Pia-arachnoid,  anatomy,  ii.  43 

wounds  of,  ii.  61 
Picric  acid  as  antiseptic,  i.  67 

for  preparation  of  operative  field,  i.   178 
in  burns,  i.  821 
Pigeon-toe,  iii.  49s 

Pilcher's  catheterizing  cystoscope,  iii.  189, 
701 
method    of    suprapubic     prostatectomy 
in  two  stages,  iii.  244 
Piles,  iii.  69.     See  also  Hemorrhoids. 
Pillow  extension  in  fractures,  i.  493 
Pilocarpin  hydrochlorid  as  miotic,  ii.  118 
Pimples,  i.  835 
Pin  sutures,  i.  197 
Pinguecula,  ii.  124 
Pink  eye,  ii.  122 

Pirogoff's  disarticulation  of  foot  at  ankle- 
joint,  iii.  585 
Pituitary  body,  nasal  approach  to,  ii.  89 
operations  on,  ii.  82 
anesthesia  in,  ii.  83 
approach  by  bucconasal  route,  ii.  92 
by  frontal  route,  ii.  85 
by  nasal  route,  ii.  88 
choice  of,  ii.  83 

combined   frontal  and  nasal,  ii.  90 
high  nasal,  ii.  go 

nasal,  with  removal  of  septum,  ii.  88 
routes  of  approach,  ii.  82 
simple  transnasal,  ii.  88 
surgical  anatomy,  ii.  83 
total  removal,  ii.  83 
tumors  of,  ii.  83 
extract  for  treatment  of  shock,  i.  217 
Pituitrin  in  acute  intestinal  stasis,  ii.  614 

in  paralytic  ileus,  ii.  553 
Pityriasis  rosea,  i.  836 
Plantar  fascia,  division  of.,  for  hollow  foot, 

iii.  489 
Plasma  marina  in  septicemia  of  unknown 

origin,  i.  261 
Plaster  lacing,  i.  55 
moleskin,  i.  54 
protective,  adhesive,  i.  54 
resin,  i-  55       .   .        . 
Plaster-bed,  reclining,  in  Pott's  disease,  ii, 

327 
Plaster-of-Paris  bandages,  i.  57 
in  fracture  of  lower  jaw,  i.  544 
case  in  fractures  of  shaft  of  femur,  i.  591 
correction  for  club-foot,  iii.  469 
jackets    in    Pott's    disease,    ii.  329-335 
splints,  i.  477 

bisected  case,  i.  481 

fenestra  in,  i.  481 

gutter,  i.  483 

in  tuberculosis  of  hip,  i.  668 

method  of  application,  i.  477 


Plaster-of-Paris  splints,  method  of  cutting, 
i.  481 
of  making,  i.  478 

traction  after  application,  i.  479 
Plastic  ankylosing  arthritis,  i.  662 
linitis,  ii.  702 
operations,  iii.  622 

amputation  as,  iii.  498 

flaps  in,  iii.  622 

for  absence  of  lip,  iii.  655 

for  coloboma,  iii.  633 

for  defects  of  cheeks,  iii.  657 

not  involving  whole  thickness,  iii. 

657 
with  double  transplanted  flap  of 
forearm,   iii.  665 
of  mucous  membrane  of  cheek,    iii. 
665 

for  ectropion  of  lower  lip,  iii.  654 

for  elongated  lobule  of  nose,    iii.  685 

for  large  lobule  of  nose,  iii.  685 
nostrils,    iii.  685 

for  lateral  deflection  of  nose,  iii.    680 

for  lop-ear,  iii.  652 

for  macrostoma,  iii.  655 

for  microstoma,  iii.  656 

for  misshaped   nasal  orifices,    iii.  686 

for  partial  defects  of  nose,  iii.  677 

for  pug-nose,  iii.  684 

for  reconstruction  of  nose,  iii.  666 

for  restoring  auricle,  iii.  649 
end  of  nose,  iii.  679 
lower  jaw,  iii.  682 
nasal  septum,  iii.  680 
parts  of  auricle,  iii.  652 
size  of  auricle,  iii.  652 
small  defects  of  nasal  wings,  iii.  680 
whole  thickness  of  cheek,  iii.  657 

for  saddle-nose,  iii.  682 

for  small  lobule  of  nose,  iii.  685 

for  thick  nasal  subseptum,  iii.  686 
wings,  iii.  686 

making  bridge  of  skin  for  transplanta- 
tion in,  iii.  635 

massive  skin  transplantations  in,  iii.  635 

on  auricle,  iii.  649 

on  cheek,  transplanting  flap  with  tem- 
poral artery  in,  iii.  660 

on  face,  iii.  622 

on  head,  iii.  649 

on  humped-nose,  iii.  683 

on  lips,  iii.  654 

on  mouth,  iii.  655 

on  nose,  iii.  666 
minor,  iii.  683 

preserving  circulation  in  flaps,  iii.  623 

silver  foil  for  covering  wounds  in.  iii. 

sliding  flaps  for,  iii.  629 

stretching  skin  in,  iii.  626 

technic,  iii.-  624 

turning  in  skin  surface  to  take  place  of 

mucous  membrane  in,  iii.  635 
undercutting  skin  for,  iii.  629 
using  sliding  flaps  with  facial  artery, 

iii.  663 
with  pedunculated  flaps,  iii.  635 


Plastic 


82 


Postmuscular 


Plastic  operations  with     reversed    pedun- 
culated flaps,  iii.  635 
witti  sliding  flaps,  iii.  630 
reconstruction  of  finger,  iii.  458 
Plates  for  flat-foot,  iii.  486 

lateral,  for  suture  of  arteries,  i.  376 
metallic,  in  fractures,  i.  507,  508 
Pleth's  knitting  needle  method  of  intestinal 

anastomosis,  ii.  677 
Pleura,  ii.  399 
anatomy,  ii.  399 
cervical,  ii.  399 
costal,  ii.  399 
diaphragmatic,  ii.  399 
infection  of,  with  wounds  of  lung,  ii.  414 
operations  through,  with  increased  intra- 

pulmonary  pressure,  ii.  446 
pulmonary,  ii.  399 
tumors  of,  ii.  445 
wounds  of,  ii.  399 
Pleural  shock  from  artificial  pneumothorax, 

ii-  417    . 
Pleurisy  with  effusion  from  artificial  pneu- 
mothorax, ii.  417 
Plexiform  neuroma  of  scalp,  ii.  24 
Plexus,  brachial,  i.  892.     See  also  Brachial 

plexus. 
Plication  of  anterior  fold  of  broad  ligament 
for  retroversion,  iii.  392 
of  arteries  in  aneurism,  i.  3S4 
Plug,  epithelial,  in  external  auditory  canal, 

ii.  306 
Plumper  for  prosthesis  in  upper  jaw,  i.   727 

of  lower  jaw,  i.  728 
Pneumatic  extension  in  fractures,  i.  494 

suit,  Crile's,  for  prevention  of  shock,  i.  216 
Pneumatocele,  pericranial,  ii.  24 
Pneumectomy,  ii.  456 
in  bronchiectasis,  ii.  420 
in  tuberculosis,  ii.  416 
Pneumococcus  arthritis,  i.  660 
Pneumogastric  nerve,  injuries  and  diseases 

of,  i.  891 
Pneumolysia,  interpleural,  in  tuberculosis, 
ii.  418 
in  bronchiectasis,  ii.  420 
in  tuberculosis,  ii.  418 
Pneumonia  after  abdominal  operations,  ii. 
534 
aspiration,  from  ether,  i.   105 
postoperative,  prevention  of,  i.  180 
Pneumothorax,  ii.  400 

artificial,  gas  embolism  from,  ii.  417 
in  tuberculosis,  ii.  416 
indications  for,  ii.  417 
length  of  treatment,  ii.  418 
mortality  in,  ii.  417 
pleural  infection  from,  ii.  417 

shock  from,  ii.  417 
pleurisy  with  effusion  from,  ii.  417 
results,  ii.  418 

subcutaneous  emphysema  in,  ii.  417 
Pneumotomy,  ii.  456 

in  bronchiectasis,  ii.  419 
Point,  auricular,  ii.  45 
condyloid,  of  inferior  maxilla,  ii.  45 
midsagittal,  ii.  45 


Point,  midzygomatic,  ii.  45 

superior  Rolandic,  ii.  46 

supra-auricular,  ii.  45 

Sylvian  ii.  46 
Poisoning,  ergot,  gangrene  from,  i.  318 

from  irritating  gases,  iii.  721 

from  local  anesthetics,  i.  138 

gas,  iii.  716,  720 

ivy,  i.  825 

mercuric  chlorid,  iii.  806 

primrose,  i.  826 

ptomain,  i.  259 

sewer-gas,  iii.  72r 

skin,  i.  82s 

sumac,  i.  825 
Poisons,  gangrene  from,  i.  320 
Poliomyelitis,  anterior,  ii.  326 
Politzer's  bag  for  inflating  middle  ear,  ii. 

301. 
Polonium,  iii.  709^ 

Polycystic  degeneration  of  kidney,  iii.  151 
Polydactylism,  iii.  457 
Polymastia,  ii.  472 
Polymerized  formaldehyd  as  antiseptic,  i. 

68 
Polymyositis,  acute,  i.   791 
Polypoid  adenomata  of  intestines,  ii.   582 
Polyps  of  bladder  and  urethra,  f  ulguration 
for,  iii.   703 

of  maxillary  antrum,  ii.   197 

of  uterus,  iii.  372 

of  vagina,  iii.  356 

rectal,  iii.  75 
Polythelia,  ii.  472 
Pope's    method    of    preventing    adhesions 

in  abdominal  operations,  ii.  522 
Popliteal  aneurism,   i.  399 

artery,  compression  of,  for  hemorrhage,  i. 
367 
ligation   of,   i.  437 

blood-vessels,  injury  of,  in  fractures  of 
lower  end  of  femur,  i.  595 

nerve,  external,  injuries  of,  i.  898 

space,  anatomy  of,  i.  437 
Port-wine  stains,  i.  453 

radium  in,  iii.  714 
Portal  vein,  anastomosis  of,  with  vena  cava, 
in  ascites,  ii.  561 
thrombosis  of,  i.  457 
vena  cava  and,  anastomosis  between, 
i.  458 
Portio  vaginalis,  iii.  325 
Position  for  general  anesthesia,  i.  94 

knee-chest,  iii.  398 
elevated,  iii.  398 

Sims'  lateral,  iii.  398 

secured  on  operating  table,  i.  86 
Posterior  cervical  nerves,  resection  of,  in 
torticollis,  ii.  376 

sclerotomy,  ii.  157 
Postfebrile  gangrene,  i.  320 
Postherpetic  neuralgia,  i.  865 
Postmeatal  triangle  of  ear,  ii.  300 
Postmortem  Cesarean  section,  iii.  40S 
Postmuscular  oblique  abdominal  section,  ii. 

vertical  abdominal  section,  ii.  512 


Postoperative 


83 


Prolapse 


Postoperative  dilatation  of  slomacli,  ii.  615 
hemorrhage,  prevention,  i.   181 
intra-abdominal  hemorrhage,  ii.  524 
pneumonia,  prevention  of,  i.   180 
tetanus,  i.  270 
treatment,  i.   225 

of  abdominal  operations,  ii.  529 
vomiting,  ii.  615 
Postpartum  hemorrhage,  Momburg's  con- 
striction belt  in,  i.  365 
Post's  anesthetic  mixture,  i.  itq 
Posttraumatic  neuroses,  ii.   102 
Postural  scoliosis,  ii.  352,  353 
Potassium   bitartrate   for  suppurating 
wounds,  i.  212 
hydrate  as  caustic,  i.  73 
hypochlorite  as  antiseptic,  i.  64 

treatment  of  infected  wounds,  i.  247 
iodid  in  syphilis,  i.  290 
mercuric  iodid  method  for  catgut,  i.  35 
permanganate  as  antiseptic,  i.  67 
Pott's  disease,  ii.  327 

abscess  in,  ii.  335.     See  also  Abscess 

in  Poll's  disease. 
after-treatment  on  recumbent  frame, 

ii-  334 
ambulatory  treatment,  ii.  329 
bone  grafts  in,  i.  776.     See  also  Bone 

grafts  of  spine. 
Bradford's  frame  in,  ii.  328 
care  of  skin  in,  ii.  334 
corset  in,  ii.  334 
duration  of  treatment,  ii.  33S 
head  support  in,  ii.  333 
horizontal  fixation  in,  ii.  327 
jacket  applied  in,  for  cervical  and  upper 
dorsal  disease,   ii.  332 
high,  ii.  332 

in    suspension    hammock,    ii.  329 
with  patient  in  prone  position,  ii. 
329 
on  back,  ii.  331 
suspended,  ii.  331 
jury-mast   in,    ii.  333 
Lorenz's   reclining   plaster-bed    in,    ii. 

lumbar  involvement  in,  ii.  334 
metallic   braces  in,  ii.  333 
operations  on  bodies  of  vertebrse  in, 

ii-  337 
operative  treatment,  ii.  33S 
paralysis  in,  ii.  337 
prognosis,    ii.  335 
recumbent  treatment,  ii.  327 
fracture,   i.  606 

puffy   swelling   of   cranial   bones,    ii.  41 
Poultice  for  inflammations,  i.  234 

in  wound  infection,  i.   28 
Poupart's  ligament,   ligation  of  femoral 

artery  below,  i.  435 
Pregnancy,  appendicitis  in,  iii.  102 
as  factor  in  operation,  i.  182 
ectopic,  iii.  435 

dead  fetus  in,  iii.  437 
rupture  of  tube  in,  iii.  435 
transplantation     of,     from     Fallopian 
tube  to  uterus   iii.  437 


Pregnancy,  ectopic,  with  fetus   growing  in 
abdomen,  iii.  436 

hysterectomy  in,  iii.  425 

treatment  of  mother  in,  for  syphilis,  i.  301 
Preparation   of  patient,   i.   176.     See   also 

Palient,  prcparalion  of. 
Prepatellar  bursitis,  iii.  465 
Prepuce,  iii.  248 

adherent,  iii.  253 

dorsal  incision  of,  iii.  257 

frenum  of,  rupture  of,  iii.  250 
short,  iii.  254 

of  clitoris,  adhesions  of,  iii.  328 
Preputial  balanitis,  iii.  251 
Presacral  abscess,  iii.  459 
Presenile  gangrene,  i.  320 
Pressure  as  hemostatic,  i.  334 

for  chronic  inflammation,  i.  250 

ulcers,  i.  313 
Pressure-pad  in  gastroptosis,  ii.  711 
Pretibial  bursitis,  iii.  465 
Prevention  of  adhesions,  ii.  515,  520,  521 
Prevesical  space,  iii.  182 
Priapism,  iii.   254 
Primrose  poisoning,  i.  826 
Private  houses,  operations  in,  i.   169 
Probes,  i.  75 

Processus  pyramidalis,  ii.  380 
Procidentia  uteri,  iii.  375 
Proctectomy  for  rectal  cancer,  iii.  75 
Proctitis,  iii.  61 

syphilitic,  iii.  61 

tubercular,  iii.  61 

ulcerative,  iii.  61 
Proctoclysis,  i.  344;  iii.  55 

after  abdominal  operations,  ii.  533 

apparatus  for,  iii.  56,  57 

device  for  heating  solution  for,  ii.  58 

glucose  solution  in,  iii.  58 

in  peritonitis,  ii.  547 

length  of  time  for,  iii.  56 

salt  solution  for,  iii.  57 

sea-water,  for  thirst,  iii.  58 

sugar  solution  for,  iii.  58 

uses,  iii.  56 
Proctopexy  for  rectal  prolapse,  iii.  68 
Proctoscope,  iii.  56 

Proctotomy,  external,  in  rectal  cancer,  iii.  75 
stricture,  iii.  65 

internal,  in  stricture  of  rectum,  iii.  65 

vaginal,  for  rectal  cancer,  iii.  75 
Proflavin  for  infected  wounds,  iii.  810 
Prognathism,  ii.  281 

operative  treatment,  iii.  588 

with  malocclusion,  ii.  2S3 
Prolapse  of  intestines,  ii.  616 

of  lacrimal  gland,  ii.  136 

of  liver,  iii.   113 

of  ovary,  iii.  434 

of  rectum  and  anus,  iii.  67 

alcohol  injections  in,  iii.  68 

amputation  in,  iii.  68 

cautery  in,  iii.  67 

intestinal  anastomosis  in,  iii.  69 

operation  in,  for  narrowing  caliber, 

iii.  68 
paraffin  injections  in,  iii.  68 


Prolapse 


Pudic 


Prolapse  of  rectum  and  anus,  proctopexy 
for,  iii.  68 
tamponing  in,  iii.  68 
of  spleen,  ii.  784 
of  urethra,  iii.  331 
of  uterus,  iii.  376 

Goffe's  operation  tor,  iii.  379 
Harris'  operation  for,  iii.  379 
hysterectomy  for,  iii.  380 
in  young  girls,  iii.  376 
interposition  in,  iii.  378 
operative  treatment,  iii.  376 
parafSn  prosthesis  for,  iii.  691 
pessary  for,  iii.  376 
prevention,  iii.  376 
Walbaum's  operation  for,  iii.  379 
Proliferative  endometritis,  chronic,  iii.  370 
Propasin  in  local  anesthesia,  i.   137 
Prostate,  iii.  226 
abscess  of,  iii.   229 
anatomy,  iii.  226 
atrophy  of,  iii.  248 
cancer  of,  iii.   246 

radmm  in,  iii.  712 
capsule  of,  iii.  227 
cysts  of,  ill.  248 
diseases    of,   as   factor   in   operation,    i. 

182 
fibroma  of,  iii.   246 
hypertrophy  of ,  iii.   231.     See  also //y^er- 

Irophy  of  prostate. 
infections  of,  iii.  229 
injuries  of,  iii.  228 
irritable,  iii.   248 

massage  cf,  for  prostatitis,  iii.  230 
myoma  of,  iii.  246 
preparation  of,  for  operation,  i.   180 
sarcoma  of,  iii.   248 
stone  in,  iii.  248 
thickening  of  isthmus,  urinary  retention 

from,  iii.   212 
tuberculosis  of,  iii.   230 
tumors  of,  iii.  246 
Prostatectomy,  anesthesia  for,  iii.   234 
choice  of  operation,  iii.   233 
for  cancer,  iii.   247 
for  hypertrophy,  iii.  232 
indications  for,  iii.  232 
perineal,  iii.   234 
for  cancer,  iii.  247 
hemorrhage  in,  iii.  23,6 
incision  for,  iii.  235 
preparation  for  operation,  iii.  233 
suprapubic,    iii.   237.     See    also    Supra- 
pubic prostatectomy. 
Prostatic  bars,  iii.   244 
sinuses,  iii.  249 
urethra,  iii.  249 

urethrotomy,  for  stricture,  iii.  299 
Prostatitis,  acute,  iii.  229 
chronic,  iii.  230 
massage  of  gland  for,  iii.   230 
Prostatorrhea,  iii.  248 
Prostatotomy,   galvanocaustic,   for   hyper- 
trophy, iii.  232 
Prosthesis  for  defects  after  resection  of  jaws, 
i.  726 


Prosthesis  for  lower  jaw,  i.  728 
plumper  for,  i.  728 
of  upper  jaw,  i.  726 

plumper  for,  i.  727 
paraffin,  iii.  688.     See  also  Paraffin  pros- 
thesis. 
rubber,  in  paralysis  of  muscles,  i.  796 
Prosthetic  apparatus,  iii.  607 

end-bearing  stumps  for,  iii.  614 

for  face,  iii.  686 

for  lower  extremities,  iii.  611 

motor,  iii.  611 
for  upper  extremities,  iii.  607 

motor,  iii.  607 
hook-arm,  iii.  609 
simple,  iii.  609 

with  movable  joints,  without  cineplas- 
tic  stumps,  iii.  608 
supports  in  rhinoplasty,  iii.  667 
Prostration  as  contra-indication  to  opera- 
tion, i.   I  So 
Protargol  as  antiseptic,  i.  67 
Protective  inoculations,  i.  255 
materials,  impervious,  i.  52 
Protectors,  i.  48 
perineal,  i.  48 
Proteid,  injections  of,  i.  21 
Prurigo,  i.  836 

.T-rays  in,  iii.  704 
Pruritus,  i.  843 
ani,  i.  843 

autogenous  vaccines  in,  iii.  65,  818 
operative  treatment,  iii.  66 
phenol  in,  iii.  66 
radium  in,  iii.  713 
of  genitals,  i.  843 
radium  in,  iii.  7r3 
.^-rays  in,  iii.  704 
Psammoma  of  brain,  ii.  75 
Pseudoleukemia,  i.  464 

.^■-rays  in,  i.  465 ;  iii.  705 
Pseudomembranous  conjunctivitis,  ii.  123 
Psoas  abscess  in  Pott's  disease,  ii.  337 
parvus  muscle,  contracture  of,  simulating 
appendicitis,  i.  796 
Psoriasis,  i.  833 

chrysarobin-serum  treatment,  i.  835 
local  treatment,  i.  834 
of  tongue,  i.  834;  ii.  289 
radium  in,  iii.  713 
vaccines  in,  i.  835 
.i:-rays  in,  iii.  705 
Psychic  treatment  of  shock,  i.  216 
Psychoses,  traumatic,  ii.  102 
Pterygium,  ii.  124 

operations  for,  ii.  149 
Ptomain  poisoning,  i.  259 
Ptosis  of  eyelids,  ii.  119 
operations  for,  ii.  138 
of  hepatic  flexure  of  colon,  ii.  616 
of  splenic  flexure  of  colon,  ii.  616 
of  transverse  colon,  ii.  6r6 
of  upper  eyelid,  ii.  120;  iii.  820 
Pubotomy,  iii.  410 
Pudic     artery,    internal,    ligation     of,     i. 

nerve,  blocking  of,  i.   153 


Puerperal 


85 


Radium 


I'uerpcriil  injuries  of  pelvic  outlet,  iii.  333 
pyemia,  iii.  371 
septicemia,  iii.  370 

vaccine  and  serum  therapy  in,  i.  257 
Puffy  swelling  of  cranial  bones,  ii.  41 
Pug-nose,  plastic  operation  for,  iii.  684 
Pulmonary    artery,    embolism    of,    i.  457 
diseases  as  factor  in  operation,  i.  182 
emphysema,  rib  resection  in,  ii.  419 
hyperemia,  postoperative,  i.  227 
pleura,  ii.  399 
Pulsating  exophthalmos,  ii.  137 

in  arteriovenous  aneurism  of  cavernous 
sinus,  ii.  73 
Pulse  in  general  anesthesia,  i.  98 
Punch  operation  for  prostatic  bars,  iii.  245 
Puncta  lacrimalia,  malposition  of,  ii.  136 
Punctate  skin-grafting,  iii.  643 
Puncture,  laryngeal,  anesthesia  by,  i.  125 
lumbar,  ii.     348.     See  Lumbar  puncture. 
of  kidney,  exploratory,  iii.  163 
of  pregnant  uterus,  iii.  361 
of  renal  pelvis,  iii.  163 
venous,  i.  453 
Punctured  wounds,  i.  219 
of  joints,  i.  654 
of  liver,  iii.  107 
of  uterus,  iii.  360 
Purgation,    dangers    of,  before   operation, 

iii.  808 
Purpura,  hemorrhage  in,  i.  360 
Purse-string  operation  for  small  umbilical 
hernia,  iii.  41 
suture,  i.  201 

for  closing  lumen  of  intestines,  ii.  6S1 
infolding,    iii.  809 
of  intestines,  ii.  635 
Purulent  nonspecific  conjunctivitis,  ii.  121 
Pus  in  vitreous,  ii.   134 

inoculations  in  suppuration,  i.   25S 
kidney,  iii.  148 
Putrefactive    organisms,    wound    infection 

with,  i.  212 
Pyelitis,  iii.  147 
chronic,  iii.  147 
suppurative,    iii.  147 
Pyeloplication   in   hydronephrosis,   iii.   153 
Pyelotomy,  iii.  164 
Pyemia,  i.  260 

puerperal,  iii.  371 
Pylorectomy,  ii.  747 
partial,  ii.   751 

gastrojejunostomy  after,  ii.  755 
shock  in,  ii.  776 
Pyloric  end  of  stomach,  cancer  of,  operation 
for,  ii.  756 
resection  of,  ii.  751 

gastrojejunostomy    after,    ii.  755 
stenosis,  ii.  717 

acquired  hypertrophic,  ii.  720 

cicatricial,  ii.   720 

congenital,  ii.  717 

indications  for  operation  in,  ii.  719 

mortality  from,  ii.   719 

of  infancy,  ii.  717 

posterior  gastro-enterostomy  in,  ii.  719 

simple,  pyloroplasty  in,  ii.  740 


Pyloric  stenosis,  spasmodic,  ii.  720 

ulcer,  ruptured,  pyloroplasty  in,  ii.   740 
Pylorodiosis,  ii.  737 
Py!orof)lasty,  ii.  740 

angular  clamp  for,  ii.  747 

by  single  incision,  ii.  740 

feeding  after,  ii.  778 

freeing  duodenum  for,  ii.  739 

in  duodenal  ulcer,  ii.  578 

indications  for,  ii.  740 

with  gastroduodenostomy,  ii.   741 
Pylorospasm,  pyloroplasty  in,  ii.  740 
Pylorus,  anatomy,  ii.  698 

carcinoma  of,  ii.  720 

exclusion  of,  ii.  771 

permanent  occlusion  of,  in  duodenal  ulcer, 
ii.  578 

reconstruction  of,  ii.  776,  777 
Pyocyaneus  infection,  i.  261 
Pyoktanin  as  antiseptic,  i.  71 

in  inoperable  cancer,  i.  332 
Pyonephrosis,  iii.  148 
Pyorrhea  alveolaris,  ii.  277 
Pyothorax,  ii.  402.     See  also  Empyema. 
Pyxol  as  antiseptic,  i.  70 

Quadriceps  extensor  of  thigh,  paralysis  of, 
tendon  transplantation  in,  i.  812 
femoris  muscle,  tendons  of,  luxations  of,  i. 
812 
Quinin  and  urea  chlorid  injections  in  hem- 
orrhoids, iii.  70 
hydrochlorid,  as  local  anesthetic,  i.  137 
injections  in  hyperthyroidism,  ii.  390 
hydrochlorid  as  antiseptic,  i.  71 
Quinsy,  ii.  212 

Race  as  factor  in  surgical  treatment,  i.   1 7 
Rachitic  spine,  ii.  350 

torticollis,  ii.  377 
Racket  method  of  amputation,  iii.  516 
Radial  artery,  ligation  of,  i.  421 

of  deep  palmar  branch,  i.  426 

bursa,  infections  of,  iii.  448,  449 
Radiation  for  cancer  of  uterus,  iii.  424 

injuries  from,  iii.  716 
Radical    mastoid   operation,    ii.     See    also 

Mastoid  operation,  radical. 
Radiotherapy,  iii.  709 
Radium,  iii.  709 

alpha  rays  of,  iii.  709 

applicators,  iii.  709,  713 

beta  rays  of,  iii.  709 

compress,  iii.  715 

dosage,  iii.  709    . 

effect  on  cancer  tissue,  iii.  710 

emanation,  iii.  709 

filters  for  rays  of,  iii.   709 

for  inoperable  epithelioma  of  face,  iii. 
710 

gamma  rays  of,  iii.  709 

in  angioma,  iii.  714 

in  cancer  of  bladder,  iii.  712 
of  breast,  iii.  713 
of  esophagus,  iii.  712 
of  pelvis,  iii.  714 
of  prostate,  iii.  712 


Radium 


Resection 


Radium  in  cancer  of  rectum,  iii.  712 
of  stomach,  iii.  712 
of  uterus,  iii.  711 
of  vagina,  iii.  711 
in  dironic  eczema,  iii.  713 
in  epithelioma  of  tongue,  iii.  712 
in  exophthalmic  goiter,  iii.  713 
in  fibroid  tumors  of  uterus,  iii.  712 
in  hyperthyroidism,  ii.  390 
in  inoperable  cancer,  i.  333 
in  keloids,  iii.  713,  714 
in  keratosis  from  .T-rays,  iii.  714 
in  lupus  erythematosus,  iii.  713,  714 
in  myoma  of  uterus,  iii.  712 
in  nevus  of  scalp  and  face,  iii.   714 
in  pruritus,  iii.  7r3 

ani,  iii.  713 
in  psoriasis,  iii.  713 
in  sarcoma,  iii.  713 
in  sycosis  vulgaris,  iii.  714 
in  warts,  iii.  713 
salts  of,  iii.  709 
Radius  and  ulna,  union  of,  iii.  451 
dislocations  of,  backward,  i.  637 
congenital,  i.  618 
forward,  i.  637 
old,  i.  638 
outward,  i.  637 
excision  of.  i.  731 
fractures  of,  i.  572 
of  head,  i.  572 
of  lower  end,  i.  575.     See  also  Fracture, 

Colles' . 
of  neck,  i.  572 
of  shaft,  i.  573 
resection  of,  i.  731 

subluxations  of  head,  by  traction,  i.  637 
Ransohoff's  operation  for  sliding  hernia  of 

large  intestine,  iii.  49 
Ranula,  ii.  291 
Raynaud's  gangrene,  i.  318 
Reaction,  electric,  of  motor  areas  of  brain, 

testing  for,  ii.  51 
Reactionary  hemorrhage,  1.  35S 
Reading,  brain  center  of,  ii.  44 
Rebreathing  in  anesthesia,  i.  1 23 
Receptaculum  chyli,  septic  infection  of,  ii. 
361 
wounds  of,  i.  460 
Reconstruction  of  bladder,  iii.  226 
of  finger,  plastic,  iii.  458 
of  nose,  plastic,  iii.  660 
of  pylorus,  ii.  776,  777 
Reconstructive   operation   in   aneurism,  i. 

389 
Recovery  room,  i.  167 
Rectal  anesthesia,  ether  vapor,  i.  i  r4 

oil-ether,    i.  no.     See    also    Oil-ether 
rectal  anesthesia. 
drainage  in  abdominal  operations,  ii.  528 
injections  in  appendicitis,  ii.  549 
speculum,  hinged,  iii.  55 

open-frame,  iii.  55 
tube  after  abdominal  operations,  ii.  531 
Rectocele,  iii.  342 
Recto-uterine  ligaments,  iii.  325 
pouch,  iii.  324 


Rectovaginal  cul-de-sac,  iii.  325 

fistula,  iii.  67,  355 
Rectovesical  fistula,  iii.  06 
Rectum,  iii.  53 

adenoma  of,  iii.  74 

anatomy,  iii.  53 

and  anus,  prolapse  of,  iii.  67 

cancer  of,   iii.  75.      See   also    Cancer   of 
rectum. 

erosions  of,  iii.  61 

foreign  bodies  in,  iii.  66 

imperforate,  iii.  66 

implantation  of  ureters  into,  iii.   179 

inflammation  of,  iii.  61.     See  also  Proc- 
titis. 

injuries  of,  iii.  60 

lacerations  of,  old  complete,  iii.  342 
of   perineum   into,   complete,   iii.  334 

operation  on,  inspiratory  moan  in,  iii.  61 
local  anesthesia  in,  i.  rs2 

papilloma  of,  iii.  74 

polyps  of,  iii.  75 

preparations  for  operation  on,  iii.  54 

stricture  of,  iii.  64 

external  proctotomy  in,  iii.  65 
internal  proctotomy  in,  iii.  65 
syphilitic,  iii.  65 

tumors  of,  iii.  74 
benign,  iii.  74 
malignant,  iii.  75 

ulceration  of,  amebic,  iii.  61 

upper  part,  cancer  of,  ii.  591 

wounds  of,  iii.  60 
Rectus  muscle,  advancement  of,  ii.  176 
folding  operation  on,  ii.  176 
internal,  tenotomy  of,  in  strabismus,  ii. 

shortening  of,  ii.  176 
Recurrent  bandage,  iii.  742 

dislocations,  i.  6r2 

laryngeal  nerve,  anatomy,  ii.  380 
injuries  and  diseases  of,  i.  892 
Redundant     sigmoid,     chronic     intestinal 

stasis  from,  ii.  612 
Reeducation  of  crippled,  iii.  615 
Regional  anesthesia,  i.  127 
Reid's    method   of  craniocerebral  localiza- 
tion, ii.  49 
Reindeer  tendon  sutures,  i.  37 
Relaxation  incisions  for  scars,  iii.  693 

of  ligaments  of  spine,  i.  357 

of  sacro-iliac  joint,  iii.  459 
Relaxed  abdominal  wall,  ii.  540 

crucial  ligament,  i.  653 

knee-joint,  i.  686 
Renal.     See  Kidney. 

Replacement  of  amputated  fingers,  iii.  649 
Resection,   double,   in  nontoxic  goiter,   ii. 

intestinal,    ii.  636 

of  alveolar  process  of  lower  jaw,  i.  725 

of  upper  jaw,  i.  723 
of  ascending  colon,  indications  for,  ii.  642 
of  bladder,  iii.  224 
of  bones,  i.  717 

of  pelvis,  i.  732 
of  calcaneum,  i.  734 


Resection 


87 


Retroperitoneal 


Resection  of  cardia  for  cancer,  ii.  756 
of  cecum,  indications  for,  ii.  642 
of  clavicle,  i.  729 

of  colon,  preventing  obstruction  to  pas- 
sage of  gas  in,  ii.  644 
of  costal  cartilages  in  rigidity  of  chest,  ii. 
422 
in  tuberculosis,  ii.  419 
of  esophagus,  of  lower  segment,  ii.  470 
of    eyelids,    blepharoplasty    for,    ii.  147 
of  femur,  i.  732 
of  fibula,  i.  734 
of  half  of  body  and  ramus  of  lower  jaw,  i.  7  25 

of  lower  jaw,  i.  724 
of  head  of  scapula  i.  730 
of  humerus,  i.  730 

of  jaws,  defects  after,  prosthetic  appara- 
tus for,  i.  726 
of  joints,  i.  738 
of  knee-joint,  i.  751 
of  liver,  iii.  112 
of  lower  jaw,  i.  724 

segment  of  upper  jaw,  i.  722 
of  metacarpal  bones,  i.  731 
of  outer  wall  of  orbit,  ii.  163 
of  part  of  lobe  of  thyroid  gland,  ii.  389 
of  phalanges,  i.  731 
of  posterior  cervical  nerves  in  torticollis, 

ii.  376 
of  pyloric  end  of  stomach,  ii.  751 

gastrojejunostomy    after,    ii.  755 
of  radius,  i.  731 
of  rectum  with  preservation  of  sphincter 

ani  for  cancer,  iii.  84 
of  scapula,  i.  730 
of  segment  of  lower  jaw,  i.  726 
of  spermatic  nerve  plexus  for  d3'smenor- 

rhea,  iii.  396 
of  spinal  accessory  nerve  in  torticollis, 

ii.  376 
of   spleen,   ii.  787 
of  thoracic  esophagus,  ii.  463 
of  tibia,  i.  733 
of  trachea,  ii.  237 
of  transverse  colon,  with  preservation  of 

omentum,  ii.  646 
of  ulcer  of  stomach,  ii.  759 
of  ulna,  i.  731 
of  upper  jaw,  717 

segment  of  upper  jaw,  i.  723 
of  zygoma  for  exposure  of  temporomaxil- 

lary  joint,  i.  740 
osteoplastic,  of  anterior  portion  of  palate, 
i-  723 

of  hard  palate,  i.  723 
submucous,  of  nasal  septum,  ii.  190 
Resin  plaster,  i.  54 
Resistance  to  disease  as  factor  in  surgical 

treatment,  i.  19,  26 
Respiration,   artificial,   iii.  717,    730.     See 
also  Artificial  respiration. 

in  general  anesthesia,  i.  98 
in  general  anesthesia,  i.  97 
Respiratory  resuscitation  apparatus,  iii.  728 
Rest  treatment  for  infected  wounds,  i.  187 

for  infections  of  extremities,  iii.  444 

in  tuberculosis,  i.  279 


Rest  treatment  of   acute   inllammation,   i. 
229 
of  chronic  iniiammation,  i.  250 
Resterilization  of  supplies,  i.  51 
Restoration  of  amputated  fingers,  iii.  458 
plastic,  of  auricle,  iii.  649 

of  totally  destroyed  nose,  iii.  666 
Restorative  operation  in  aneurism,  i.  389 
Restraint  in  general  anesthesia,  i.  loi 
Resuscitation  after  hanging,  iii.  733 
apparatus,  respiratory,  iii.  728 
artificial  respiration  for,  iii.  730 
by  heart  massage,  iii.  821 
by  intratracheal  insufflation,  iii.  730 
in  asphyxia,  iii.  733 
in  drowning,  iii.  733 
in  smoke  asphyxia,  iii.  733 
mouth-to-mouth  inflation  for,  iii.  730 
Retention  of  urine,  iii.  209 

from  acute  inflammation  of  deep  ure- 
thra, iii.  210 
from  atonic  overdistention,  iii.  209 
from  bacteriuria,  iii.  212 
from  blood-clot  in  bladder,  iii.  212 
from  contracture  at  vesical  meatus,  iii. 

212 
from  cystitis,  iii.  212 
from  foreign  bodies  in  urethra,  iii.  211 
from  hematoma,  iii.  211 
from  hypertrophy  of  prostate,  iii.   211 
from  infiltration  of  perineum,  iii.  211 
from  nervous  disorder,  iii.  209 
from  rupture  of  urethra,  iii.  210 
from  spasmodic  stricture,  iii.  210 
from  stone  in  bladder,  iii.  211 
from  thickening  of  prostatic  isthmus, 

iii.  212 
from    tumor  compressing  urethra,  iii. 

211 
from  urethral  cancer,  iii.  212 
postoperative,  i.  226 
stricture  of  urethra  with,  iii.   299 
Retina,  detachment  of,  ii.  134 
diseases  of,  ii.  134 
glioma  of,  ii.  135 
hemorrhage  into,  ii.  135 
Retinitis,  ii.  134 
diabetic,  ii.  134 
hemorrhagic,  ii.  134 
leucocythemic,  ii.  134 
nephritic,  ii.  134 
syphilitic,  ii.  134 
Retracted  nipples,  ii.  473 
Retractors,  i.  77,  78 
extemporized,  i.  87 
for  abdominal  operations,  ii.  514,  515 
vaginal,  iii.  398 
Retro-auricular  glands,  ii.  363 
Retroflexion  of  uterus,  iii.  386 
Retro-omental  route  of  approach   to  pan- 
creas, ii.  779 
Retro-orbital  tubercle,  ii.  46 
Retroperitoneal  abscess,  ii.  563 
cysts,  ii.  564 
disease,  ii.  563 

exposure  of  ureter  and  kidney,  iii.  171 
hernia,  iii.  50 


Retroperitoneal 


Round 


Retroperitoneal  infection,  ii.  563 

tumors,  ii.  563 
Retropharyngeal  abscess,  ii.  205 
in  Pott's  disease,  ii.  33  s 
glands,  ii.  363 
Retro-uterine  plication  of  round  ligaments 

for  retroversion,  iii.  392 
Retroversion  of  uterus,  iii.  3S6 

anterior  peritoneal  fi.xation  for,  iii.  393 
chronic,  iii.  389 

fixation  of  round  ligaments  in  abdomi- 
nal wall  for,  iii.  391 
from  childbirth,  iii.  388 
from  miscarriage,  iii.  388 
from  traumatism,  iii.  389 
intra-abdominal  fi.xatlon  of  round  liga- 
ments for,  iii.  392 
operations  for,  iii.  390 
pessaries  in,  iii.  387,  388 
plication  of  anterior  of  broad  ligament 

for,  iii.  392 
recent,  iii.  389 

retro-uterine  plication  of  round  liga- 
ments for,  iii.  392 
shortening  of  round  ligaments  for,  iii. 

■39° 
ventrosuspension  for,  iii.  393 
Reverdin's  method  of  skin-grafting,  iii.  644 
Rheumatic  arthritis,  i.  660 
fever,  i.  660 
iritis,  ii.  129 
synovitis,  i.  660 
torticollis,  ii.  377 
Rheumatism,  i.  658,  660 
articular  acute,  i.  660 
Rheumatoid  arthritis,  1.  661 
Rhinitis,  acute  simple,  ii.  r86 
in  children,  ii.  186 
atrophic,  ii.  r87 
chronic,  ii.  186 

simple,  ii.  i85 
hjrperplastic,  ii.  187 
membranous,  ii.  r86 
suction  treatment,  ii.  186 
Rhinoliths,  ii.  188 
Rhinophyma,  ii.  188 
Rhinoplasty,  iii.  666 

bony  and  cartilaginous  supports  for  flaps 

in,  iii.  669 
by  soft  flaps,  iii.  667 
complete,  iii.  666  . 

osteoplastic,  iii.  669 
partial,  iii.  677 

prosthetic  supports  in,  iii.  667 
soft-flap,  with  septum  reconstruction,  iii. 

667 
transfer  of  bone  and  cartilage  from  dis- 
tant parts  in,  iii.  672 
with  cartilage  from  costal  arch,  iii.  673 
with  cartilaginous  support,  iii.  671 
with  double  skin  flaps,  iii.  667 
with  foreign  body  support,  iii.  677 
with  transfer  of  bone  and  cartilage  from 

distant  parts,  iii.  672 
with  transplanting  of  distant  structures, 
iii.  674 
of  little  finger,  iii.  674 


Rhinorrhea,  cerebrospinal,  ii.  73 
Rhinoscleroma,  a;-rays  in,  iii.  705 
Rhizotomy,  ii.  344 

in  gastric  crises  of  tabes,  ii.  347 

in  neuralgia,  ii.  346 

in  spastic  paralysis,  ii.  346 
Ribs,  caries  of,  ii.  39S 

cervical,  ii.  373 

dislocation  of,  i.  623 

fractures  of,  i.  549 

necrosis  of,  ii.  398 

resection,  in  pulmonary  emphysema,  ii 
419 

syphilis  of,  ii.  398 

tuberculosis  of,  ii.  398 
Rib-trephining  for  empyema,  ii.  407 
Richardson's  double  figure-of-eight  suture, 

ii.  519 
Rickets,  i.  32 r 
Rider's  thigh,  i.  788 
Ridge,  superciliary,  ii.  46 

of  supra-orbital  arch,  ii.  46 
Riggs'  disease,  ii.  277 
Rigid  flat-foot,  iii.  488 
Rigidity  of  chest,  ii.  421 
Ring  fingers,  infection  of,  iii.  447 
Ringer's  solution,  i.  58 
Ringworm,  i.  839 

of  scalp,  i.  839,  840 
vaccines  in,  i.  840 
Ripening,  artificial,  in  cataract,  ii.  133 
Ritschl's  dorsal  pad  for  talipes  cavus,  iii. 

_489,_  49° 
Rivallie's  caustic,  i.  74 
Roberts'  treatment  for  ptosis  of  upper  eyelid, 

iii.  820 
Robinson's     apparatus     for     intratracheal 
insufllation,  ii.  450 

method  of  thoracoplasty,  ii.  410 

muscle    implantation    in    empyema,    ii. 
41  r 
Robson's  decalcified  bone  bobbin  for  intes- 
tinal anastomosis,  ii.  675 

technic  for  jejunostomy,  ii.  697 
Rodent  ulcer,   i.  3rs 

Rogers'  laryngeal  intubation  tube,  ii.   220 
Rolandic  fissure,  ii.  46 
lower  end,  ii.  46 

point,  superior,  ii.  46 
Rolled  splints,  i.  477 

Roller  bandage,  improvised  from  square, 
iii.  794 

forceps    operation    in  trachoma,  ii.  150 
RoUier  treatment  of  tuberculosis,   i.   280; 

iii.  707 
Rontgen  rays.     See  X-rays. 
Root  infections  of  teeth,  ii.  275 
Rosenstein's  method  of  drainage  in  ascites, 

ii.  s6r 
Rotary  dislocations  of  knee,  i.  648 

of  patella,  i.  648 
Rotation,  inward,  of  feet,  iii.  495 

of  testicles,  iii.  307 
Round  ligaments,  iii.  325 

fixation    of,    in    abdominal    wall,    for 

retroversion,  iii.  391 
hydrocele  of,  iii.  316 


Round 


Salvarsan 


Round  ligamcnls,  intra-abdominal  fixation 
of,  for  retroversion,  iii.  392 
retro-uterine  plication  of,  for  retrover- 
sion, iii.  302 
shortening  of,  for  retroversion,  iii.  390 
shoulders,  ii.  351 
Round-cell  sarcoma,  small,  of  bones,  i.  709 
Routte's  method  of  drainage  in  ascites,  ii. 

560 
Rou.x's  method  of  anterior  gastrojejunos- 
tomy, ii.  771 
of  esophagogastrojejunostomy,  ii.  464 
Rovsing's  method  of  gastropexy,  ii.  713 

operation  of  nephrolysis,  iii.   1 70 
Rubber  bandages,  i.  56 
cushions,  i.  22,  23 
dam,  i.  53 

drainage  tubes,  i.  45 
finger  cots,  i.  53 
gloves,  care  of,  i.  174 

method  of  adjusting,  i.  174 
sterilization  of,  i.  52.     See  also  Gloves, 
rubber,  slcrilization. 
ligature  method  of  intestinal  anastomosis, 

ii.  67s 
pads,  i.  53 

prosthesis  in  paralysis  of  muscles,  i.  796 
protective  for  open  wounds,  i.   209 
sheeting,  i.  53 
tissue,  i.  S3 
Rubefacients  for  inflammations,  i.  234 
Ruckstand  tuberculin,  i.  257 
Rudimentary  penis,  iii.  254 

uterus,  iii.  375 
Rugh's  operation  for  toe-drop,  iii.  483 
Runabout  nurse,  i.  169 
Running  ear,  ii.  310 
Rupture.     See  Hernia. 
of  abdominal  muscles,  ii.  535 
of  bladder,  iii.  190 

extraperitoneal,  iii.  191 
intraperitoneal,  iii.  19 1 
of  choroid,  ii.  131 
of  crucial  ligaments,  i.  653 
of  esophagus,  ii.  432 
of  Fallopian  tubes,  iii.  430 
of  frenum  of  prepuce,  iii.  250 
of  intestines,  ii.  566 
of  kidney,  iii.  144 
of  liver,  iii.  106 
of  lung,  ii.  413 
of  lymphatic  vessels,  i.  460 
of  perineum,  iii.  333 

of  sphincter  ani  with  laceration  of  peri- 
neum, iii.  342 
of  spleen,  ii.  784 
of  stomach,  ii.  702 
of  tendons,  i.  797 
of  thoracic  duct  in  abdomen,  ii.  361 

in  thorax,  ii.  361 
of  urethra,  urinary  distention  from,  iii. 

210 
of  uterus,  iii.  361 
traumatic,    of    tympanic    membrane,    ii. 

306 
ulcerative,   of   tympanic   membrane,    ii. 
306 


Russell's  operation  for  hypospadias,  iii.   267 
Ruth's   operation   in  cancer   of  breast,  ii. 

489 
Rydygier's  method  in  old  unreduced  hip 
dislocations,  i.  647 
of  splenopexy,  ii.  787 

Sac,  lacrimal.     See  Lacrimal  sac. 
Sacral  epidural  injections  for  anesthesia,  i. 
162 
injection  of  salt  solution  for  enuresis,  iii. 

208 
pains,  epidural  injections  for,  iii.  461 
Sacrococcygeal  region,  sinuses  of,  iii.  461 

tumors  of,  iii.  460 
Sacro-iliac  joint,  i.  651 
bone-grafts  in,  i.  7S3 
diseases  of,  ii.  355 
injuries  of,  iii.  459 
rela.xation  of,  iii.  459 
sprains  of,  i.  651 
strains  of,  iii.  461 
tuberculosis  of,  i.  680;  ii.  355 
Saddle-nose,  ii.   192 

hard-rubber  bridge  in,  ii.  194 
parafHn  injections  in,  ii.  194 
plastic  operations  for,  iii.  682 
swinging  up  half  of  lateral  cartilage  in,  ii. 
193. 
Safety-pin  hemostat,  Friedman's,  in  scalp 

operations,  ii.   20,  22 
Sagittal  sinus,  intravenous  infusion  into,  in 
infants,  i.  347 
suture,  ii.  46 
Salicylic  acid  as  antiseptic,  i.  67 
Saline  infusion,  i.  346 
gum  acacia  in,  i.  348 
in  amputation,  iii.  501 
in  sagittal  sinus  in  infants,  i.  347 
intracellular,  i.  346 
intravenous,  i.  346 
pack  for  infected  wounds,  i.  241 
injections  through  biliary  fistula,  iii.^117 
solutions,  i.  58 
chlorinated,  i.  63 
for  filling  bone  cavities,  i.  705 
for  proctoclysis,  iii.  57 
normal,  as  local  anesthetic,  i.  139 
injections  of,  in  sciatica,  i.  878 
Salivary  ducts,  calculi  of,  ii.  291,  379 
fistula,  parotid,  ii.  377 
glands,  ii.  377 
tumors  of,  ii.  379 
Salpingitis,  acute,  iii.  426 
chronic,  iii.  427 
nonacute,  iii.  427 

abdominal  section  in,  iii.  427 
vaginal  operation  in,  iii.  427 
subacute,  iii.  427 
tuberculous,  iii.  42S 
Salpingo-ureterostom}'-,  iii.  iSo 
Salts,  organic  silver,  as  antiseptic,'i.  66 
Salvarsan  in  general  paresis,  i.  294 
in  inoperable  cancer,  i.  332 
in  locomotor  ataxia,  i.  294 
in   paresis,   intraventricular  injection,   i. 
296 


Salvarsan 


90 


Sciatica 


Salvarsan  in  syphilis,  i.   291 

apparatus  for  injection,  i.  292,  293 
arsenical  poisoning  from  i.   293 
by  enteroclysis,  i.   297 
by  mouth,  i.  297 
contraindications,  i.  292 
dosage,  i.  293 
following  mercury,  iii.  814 
intramuscular  injections,  i.  297 
intraspinal  method,  i.  294 
intraventricular  injection,  i.  296 
preparation  of  solution,  i.  291 
subcutaneous  injection,  i.  297 
subdural  intracranial  injections,  i.  296 
in  yaws,  i.  303 

technic  of  injection,  i.  292 
Salvarsanized  serum  in  syphilis,  i.  295 
Sand  bags,  i.  82 

in  treatment  of  varicose  ulcers,  i.  311 
Sand-fieas,  bites  of,  i.  276 
Saphenous  vein,  anastomosis  of,  with  peri- 
toneum, in  ascites,  ii.  560 
internal,  ligation  of,  in  varicose  veins,  i. 
449 
Sarcoma,  bone,  i.  470 
cutis,  a;-rays  in,  iii.  705 
giant-ceU,  of  long  bones,  i.   707,  709 
of  abdominal  wall,  ii.  538 
of  bones,  i.  470 
mixed-cell,  i.  709 
small  round-cell,  i.  709 
spindle-ceU,  i.  709 
of  deeper  parts,  x-rays  in,  iii.  705 
of  gums,  ii.  280 

myeloid,  ii.  280 
of  intestines,  ii.  583 
of  jaws,  ii.  286 
myeloid,  ii.  286 
peripheral,  ii.  286 
of  kidney,  iii.  151 
of  peritoneum,  ii.  564 
of  prostate,  iii.  248 
of  skuU,  ii.  42 
of  stomach,  ii.  703 
of  testicles,  iii.  306 
of  thyroid  gland,  ii.  381 
of  tibia,  i.  706 
of  ulna,  i.  707 
of  uterus,  iii.  375 
of  vulva,  iii.  328 
radium  in,  iii.  713  < 

Sartorius,  tendons  of,  tenotomy  of,  i.  815 
Sawdust  dressings,  i.  42 
Sayre's  dressing,  modified,  in  fractures  of 

clavicle,  i.  552 
Scab  formation  in  nose,  ii.   187 
Scabies,  i.  848 

Scaffold  splint  in  fracture  of  shaft  of  hu- 
merus, i.   564 
Scalp,  ii.   17 

abscess  of,  ii.  24 
accidental  wounds  of,  ii.  iS 
and  chin,  bandage  of,  iii.  786 
and  face,  bandage  of,  iii.  786 
avulsion  of,  ii.  23 
complete,  ii.  23 
bandage  of,  cravat,  iii.  784 


Scalp,  bandage  of,  double  lateral,  iii.  744 
cellulitis  of,  ii.  23 
contusions  of,  ii.  1 7 
eczema  of,  i.  832 
erysipelas  of,  ii.  24 
hematoma  of,  ii.  17 
infections  of,  ii.  23 
nevus  of,  radium  in,  iii.  714 
preparation  of,  for  operation,  i.  180;  ii. 

20 
ringworm  of,  i.  839,  840 

vaccines  in,  i.  840 
seborrhea  of,  i.  844 
tumors  of,  ii.  24 

wounds  of,  control  of  hemorrhage  in,  ii. 
_    18  _ 

infection  in,  ii.  18 
operative,  ii.  19,  20 
suture  of,  ii.  19 
Scalpel,  methods  of  holding,  i.  184 
penholder  hold  of,  i.  185 
table  knife  hold  of ,  i.  185 
violin  hold  of,  i.  184 
Scapula,  excision  of,  i.  730 
fractures  of,  i.   556.     See   also  Fracture 

of  scapula. 
muscles  moving,  i.  892 
resection  of,  i.  730 
of  head  of,  i.  730 
Scarf  bandage,  universal,  iii.  793 
Scarification  of  ulcers,  i.  310 
Scarlatina,  surgical,  i.  261 
Scarpa's   triangle,   lower   part,   ligation  of 

femoral  artery  at,  i.  435 
Scars,  i.  225 

adherent,   i.  225 

fat-grafts  to  prevent,  iii.  648 
moist  warm  packs  for  stretching,  iii.  693 
painful,  i.  225 

relaxation  incisions  for,  iii.  693 
Schafer's  method  of  artificial  respiration, 
iii.  717 
in  general  anesthesia,  i.  98 
Schede's  method  of  approach  for  resection 
of  thoracic  esophagus,  ii.  463 
of    filling   bone    cavities    with   blood- 
clot,  i.  704 
of     obliterating     empyema     cavities, 
ii.  411 
Schiassi's  serum,  i.  58 
Schichhold   method   of   reducing   shoulder 

dislocations,  i.  628 
Schleich's   solutions,  i.  119 

for  local  anesthesia,  i.  135 
Schnellender  finger,  iii.  456 
Schroeder's  apparatus  for  moving  bones  in 

fractures,  i.  497 
Schultz's  adenotome,  ii.  209 
Schwartze's  operation  for  reducing  size  of 

ear,  iii.  652 
Sciatic  artery,  ligation  of,  i.  431 
hernia,  iii.  45 
nerve,  injuries  of,  i.  898 
Sciatica,  i.  878 

in  locomotor  ataxia,  i.  879 
injections  of  air  in,  i.  879 

of  normal  salt  solution  in,  i.    878 


Sciatica 


91 


Septicemia 


Sciatica,  nerve  stretching  in,  i.  S79 

spinal  anesthesia  in,  i.  870 
Sclavo's  scrum  in  anthrax,  i.  272 
Sclera,  diseases  of,  ii.  128 

foreign  bodies  of,  ii.  129 

operations  on,  ii.  156 

simple    trephining    of,   in   glaucoma,   ii. 
162 

staphyloma  of,  ii.  129 

trephines,  ii.   163 

tumors  of,  ii.  129 

wounds  of,  ii.  129 
Scleritis,  ii.  128 
Scleroderma,  i.  S43 
Sclerokerato-iritis,  ii.  12S 
Sclerosis   of   erectile   bodies   of   penis,    iii. 
255 

of  ovary,  iii.  431 
Sclerotomy,  anterior,  ii.  156 

combined  with  iridectomy,  ii.   157 

for  glaucoma,  ii.   161 

internal,  ii.  157 

posterior,  ii.  157 

with  trephine  in  glaucoma,  ii.  162 
Scoliosis,  ii.  352 

causes,  ii.  352 

corset  for,  ii.  353 

decompression  corset  in,  ii.  354 

exercises  in,  ii.  353 

functional,  ii.  353 

hammock    for    lateral  correction   in,   ii. 
354 

inclined  plane  seat  in,  ii.  353 

organic,    ii.  354 

paralytic,  bone  grafts  in,  i.  782 

postural,  ii.  353 

posture  in,  ii.  352 

prophylactic  treatment,  ii.  352 

self-suspension  in,  ii.  353 

structural,  ii.  354 
Scopolamin    hydrobromid    as     mydriatic, 
ii.  118 

narcosis,  i.  124 
Scorbutic  ulcers,  i.  314 
Scorpion,  bites  of,  i.  276 
Screws  in  fractures,  i.  507 
Scrotum,  iii.  301 

abscess  of,  iii.  302 

anatomy,  iii.  301 

bandage  of,  iii.  777 
suspensory,  iii.  781 
hammock,  iii.  782 

eczema  of,  i.  S3  2 

edema  of,  iii.  302 

elephantiasis  of,  i.  464;  iii.  302 

elongation  of,  iii.  302 

erysipelas  of,  iii.  302 

gangrene  and  sloughing  of,  iii.  302 

hemorrhage  into,  iii.  302 

infections  of,  iii.  302 

operations  on,  local  anesthesia  in,  i.   152 

tumors  of,  iii.  303 

wounds  of,  iii.  301 
Scrubbing  hands,  i.  173.     See  also  5/(;r//;':a- 

lioH  of  hands. 
Scurvy,  i.  321 

hemorrhage  in,  i.  360 


Sea  sponges,  i.  42 

water  for  inflammations,  i.  234 
in  septicemia  of  unknown  origin,  i.   261 
proctoclysis  for  thirst,  iii.  58 
Sebaceous  cyst,  i.  845 
of  face,  ii.  115 
of  scalp,  ii.  24 
Seborrhea,  i.  844 
of  eyelids,  ii.  119 
of  scalp,  i.  844 
oleosa,  i.  845 
Secondary  cataract,  operations  for,  ii.   174 

hemorrhage,  i.  358 
Section,  abdominal,  ii.  504.     See  also  Ab- 
dominal seclion. 
Cesarean,  iii.  401,404.    See  also  CeMreoK 
seclion. 
Security,  museums  of,  iii.  722 
Seff  and  Berkowitz's  treatment  of  parony- 
chia, iii.  442 
Self-performed  operations,  i.  224 
Self-suspension  in  scoliosis,  ii.  353 
Semilunar  cartilage  of  knee-joint,  i.  652 
Semimembranosus,  tendons  of,  tenotomy  of, 

i.  Sis 
Seminal  vesicles,  iii.  227,  301 
calculus  of,  iii.  278 
diseases  of,  iii.  275 

drainage  of,  with  vesiculotomy,  iii.  278 
e.\posure  of,  iii.  278 
inflammation  of,  iii.  275 
tuberculosis  of,  iii.  278 
vesiculitis,  vasopuncture  for,  iii.  277 
vasostomy  for,  iii.  277 
vasotomy  for,  iii.  276 
Semitendinosus,  tendons  of,  tenotomy  of,  i. 

8?5 
Senile  endometritis,  iii.  370 
gangrene,  i.  317 
osteomalacia,  i.  471 
vaginitis,  iii.  356 
Senn's  metliod  of  controlling  hemorrhage  in 
of  disarticulation  of  hip-joint,  iii.  603 
of  gastrostomy  through  internal  cone, 
ii.  731 
Sensory  area  of  brain  cortex,  ii.  45 

pain  areas,  i.  12S 
Septic  abortion,  iii.  371 

infarction  of  kidney,  iii.  146 
infection,  acute,  as  factor  in  operation,  i. 
1S2 
of  receptaculum  chyli,  ii.  361 
peritonitis,  acute,  ii.  548 
Septicemia,  i.  259 
antitoxins  in,  i.  260 
bacteria  causing,  i.  259 
blood  transfusion  in,  i.  260 
following    wounds    and    abscesses,    vac- 
cines in,  i.  257 
of  unknown  origin,  i.   261 

intravenous  injection  of  antiseptics 

in,  i.  261 
sea  water  in,  i.  261 
prophylaxis,  i.  259 
puerperal,  iii.  370 

vaccine  and  serum  therapy  in,  i.  257 
serum  therapy  in,  i.  256 


Septicemia 


92 


Silver -fork 


Septicemia,  treatment,  i.  260 

vaccines  in,  i.  256,  260 
Septum,  nasal,  ii.  179.     See  Nasal  sephim. 

fractures  of,  i.  540 
Sequences,  anesthetic,  i.  118 
Sequestration  of  blood  for  control  of  hemor- 
rhage, i.  369 
Seromuscular  intestinal  suture,  ii.  629 
Serous  cysts  of  kidney,  iii.  151 

effusion  in  pericardium,  ii.  422 
Serum,  i.  255 
beef,  i.  59 

Calmette's,  in  snake  bite,  i.  275 
mercurialized,  in  syphilis,  i.  295 
salvarsanized,  in  syphilis,  i.  295 
Schiassi's,  i.  58 
treatment,  i.  255 
in  anthrax,  i.  272 
in  gonorrhea,  iii.  283 
in  hyperthyroidism,  ii.  390 
in  inoperable  cancer,  i.  332 
in  puerperal  septicemia,  i.  257 
in  septicemia,  i.   256 
in  tuberculosis,  i.  279 
Sesamoid  bone  of  thumb,  fracture  of,  i.  582 
Seton  in  chronic  inflammation,  i.  250 
Seventh  nerve,  injuries  of,  ii.  63 

intracranial  operations  on,  ii.  no 
operation  on,  in  acoustic  vertigo,  ii.  112 
in  tinnitus,  ii.   112 
two-stage,  by  mastoid  route,  ii.  113 
tumors  of,  removal  of,  ii.  113 
Sewer-gas  poisoning,  iii.  721 
Sex  as  factor  in  surgical  treatment,  i.  18 
Sexual  organs,  female,  iii.  322 
anatomy,  iii.  322 
male,  iii.  248 

anatomy,  iii.  248 
Sharpening  knives,  i.  90 
Sheets,  i.  48 

abdominal,  i.  48 
rubber,  i.  53 
Shell  wounds,  i.  222 
Shield  for  eye,  ii.  138,  140 
Shingles,  i.  830 
Shock,  213,  217 
acidosis  in,  i.  213 

as  centra-indication  to  operation,  i.  180 
as  factor  in  surgical  treatment,  i.  25 
electric,  iii.  716 

artificial  respiration, in,  iii.  717 
intratracheal  insufflation  in,  iii.  719 
rescue  of  victim  after,  iii.  716 
in  abdominal  operations,  ii.  532 
in  stomach  operations,  ii.  776 
intravenous  infusion  in,  i.  346 
local  protection  against,  i.  215 
prevention  of,  i.  214 

in  amputation,  iii.  499 
susceptibility  of  children  to,  i.  19 
treatment  of,  i.  215 
urethral,  iii.  275 
Shoemaker's  suture,  i.  198 
Shoes,  iii.  496 
improper,  iii.  496 
proper,  iii.  496 
relation  of,  to  foot  diseases,  iii.  496 


Shortening  of  rectus  muscle,  ii.  176 

tendons,  i.  804 
Shoulder,  amputation  of,  iii.  568 
by  posterior  approach,  iii.  569 
and  arm,  bandage  of,  immobilizing,  iii.  755 
ankylosis    of,    arthroplasty    for,    i.  761 
bandage  of   ascending  spica,   iii.  753 
descending  spica,  iii.   754 
immobilizing,  iii.  755 
triangular,  iii.  791 
bursitis  of,  peri-articular,  iii.  451 
disarticulation  at,  iii.  562 

by    anterior   racket    incision,    iii.  566 
by  external  flap,  iii.  567 

racket  incision,  iii.  567 
control  of  hemorrhage  in,  iii.  563 
motor  stump  in,  iii.  565 
stump  in,  iii.  565 
dislocations  of,  i.  626.     See  also  Disloca- 
tions of  shoulder. 
excision  of,  i.  741.     See  also  Excision  of 

shoulder. 
round,  ii.  351 
sprains  of,  i.  652 
tuberculosis  of,  i.  679;  iii.  450 
Shrapnel  wounds,  i.  222 
Sick-room  dainties,  fallacy  of,  i.  20 
Sick's    method    of    tamponing    in    rectal 

prolapse,  iii.  68 
Sigmoid,  acute  flexures  of,  chronic  intestinal 
obstruction  from,  ii.  610 
anatomy,  ii.  625 

angulations  of,  chronic  intestinal  obstruc- 
tion from,  ii.  610 
carcinoma  of,  ii.  589 
lower  part,  cancer  of,  ii.  591 
middle  and  upper,  cancer  of,  ii.  592 
redundant,  chronic  intestinal  stasis  from, 
ii.  612 
Sigmoidostomy,   anterior,    ii.  693 
inguinal,  ii.  685 
high,  ii.  689 
low,  ii.  690 
Silicate  of  soda  splints,  i.  485 
Silk  ligaments   in   infantile  paralysis  with 
drop-foot,  i.  802 
oiled,  protective,  i.  53 
paraffined,  for  sutures,  i.  38 
tendons,  i.  801 
thread  sutures,  i.  38 
Silver  albuminate  as  antiseptic,  i.  67 
citrate  as  antiseptic,  i.  67 
coUoidal  as  antiseptic,  i.  67 
in  bronchiectasis,  ii.  419 
foil  for  covering  wounds  in  plastic  opera- 
tions, iii.  624 
protective,  i.  54 
ichthyol  as  antiseptic,  i.  67 
lactate  as  antiseptic,  i.  67 
nitrate  as  antiseptic,  i.  66 

as  caustic,  i.  73 
salts,  organic,  as  antiseptic,  i.  66 
stains,  removal  of,  i.  67 
wire  sutures,  i.  38 

for  nephrotom}',  iii.  164 
Silver-fork  deformity  in  CoUes'  fracture,  i. 
575 


Silvol 


93 


Skull 


Silvol  as  antiseptic,  i.  67 

Simple  rhinitis,  acute,  ii.   186 
chronic,   ii.  186 

Sims'  lateral  position,  iii.  397 

Sinclair's  adhesive  paste,  i.  55 

Singers'  nodules,  ii.  222 

Sinuses,  i.  304,  305 

accessory,  foreign  bodies  in,  ii.  188 

of  nose,  179 
after  operation  in  appendicitis,  iii.  102 
bismuth  paste  injections  in,  i.  306 
cavernous,  arteriovenous  aneurism  of,  ii. 

thrombosis  of,  ii.  72 
cerebrospinal,  ii.  73 
cranial,  drainage  of  cisterna  magna  into, 

in  hydrocephalus,  ii.  98 
ethmoid,  ii.  180 

suppuration  of,  ii.  197 

operation  by  orbital  route  in,  ii.   ig8 
frontal,  ii.  179.     See  Frontal  sinus. 
infections  of,  intranasal  treatment,  ii.  201 

perforating  into  orbit,  ii.  201 
intestinal,  closure  of,  ii.  616 
maxillary,    ii.  179.     See    Maxillary   an- 
trum. 
meningeal,  injuries  of,  ii.  64 
of  brain,  ii.  44 

lateral,  ii.  47 
of  sacrococcygeal  region,  iii.  461 
pericrani,  ii.  24 
pocularis,  iii.  249 
prostatic,  iii.  249 
sagittal,  intravenous  infusion   into,  in 

children,  i.  347 
sphenoid,  ii.  180 

suppuration    of,    ii.  198 
superior  longitudinal,  of  brain,  ii.  47 
venous,  infections  of,  ii.  31S 

thrombosis  of,  ii.   318 
Sixth  nerve,  injuries  of,  ii.  63 
Skene,  ducts  of,  iii.  324 
Skillem's  treatment  of  varicose   ulcers,  i. 

311 
Skin,  i.  S20 

and  muscle,  equal  flaps,  amputation  by 

iii.  517 
animal  parasites  of,  i.  848 
burns  of,  i.  820.     See  also  Burns  of  skin. 
condition  of,  in  fractures,  i.  476 
contusions  of,  i.  820 
cosmetics,  i.  849 
diseases,  atrophic,  i.  843 

autoserum  treatment,  i.  849 

hypertrophic,  i.  840 

involving  conjunctiva,  ii.  124 

of  auricle,  ii.  304 

of  glands,  i.  S44 
dry,  i.  844 

cold  cream  for,  i.  849 
epithelioma  of,  .r-rays  in,  iii.  705 
excessive  sweating  of,  i.  844 
flaps,  equal,  amputation  by,  iii.  519 
grafts,  removal  of,  local  anesthesia  for,  i. 

146 
hard,  i.  841 
implantation  of  ureter  into,  iii.  180 


Skin  infections,  i.  S25 

inflammations,  i.  825 

iodin  to  promote  healing  of,  iii.  821 

irritation  in  chronic  inflammation,  i.  250 

lichenification  of,  radium  in,  iii.  714 

making  bridge  of,  for  transplantation  in 
plastic  operations,  iii.  635 

massive  transplantation,  in  plastic  opera- 
tions, iii.  63s 

neuroses  of,  i.  843 

new  growths  of,  i.  843 

poisoning,  i.  825 

removal  of  tattoo  marks,  i.  849 

stretching,  in  plastic  operations,  iii.  626 

surface,  turning  in,  to  take  place  of^  mu- 
cous membrane  in  plastic  operations, 
iii.  63s 

suturing  of,  in  amputation,  ui.  513 

traumatism  of,  i.  820 

tuberculosis  of,  i.  837 

undercutting  of,  in  plastic  operations,  iii. 
629 

white,  i.  843 

wire  traction  from,  in  fracture,  i.  493 

wounds  of,  i.  820 
Skin-grafting,  iii.  636 

adhesive-plaster  dressing  for,  iii.  640 

anesthesia  for,  iii.  636 

best  surface  for,  iii.  636 

blister  grafts  for,  iii.  642 

care  of  wound  of  removal  in,  iii.  639 

cutting  grafts  for,  iii.  636 

dermo-epidermic,  iii.  644 

dressing  after,  iii.  639 

flocculent  grafts  for,  iii.  643 

for  treatment  of  contractures,  iii.  642 

hairy  skin,  iii.  644 

intraceUular,  iii.  643 

on  denuded  bone  surface,  iii.  639 

placing  grafts  in,  iii.  638 

preliminary  sterUization  for,  iii.  636 

preparation  of  raw  surface  for,  iii.  636 

previously  prepared  grafts  for,  iii.  642 

protective  materials  for,  iii.  640 

punctate,  iii.  643 

tunnel,  iii.  644 

uses  for,  iii.  638 

with  grafts  from  same  patient,  iii.  641 

zoodermic  grafts  for,  iii.  642 
Skin-grafts,  dressing,  iii.  639 

flocculent,  iii.  643 

from  blisters,  iii.  642 

method  of  cutting,  iii.  636 

placing  of,  iii.  638 

previously  prepared,  iii.  642 

protective  materials  for,  iii.  640 

zoodermic,  iii.  632 
Skull,  ii.  26 

arteries  of,  ligation  of,  incisions  for,  i.  404 

base  of,  anatomy,  ii.  43 

bone  grafts  of,  i.  775 
for  defects,  i.  775 

bones  of,  atroph}-,  ii.  41 
diseases  of,  ii.  41 
effects  of  pressure  on,  ii.  41. 
infective  diseases  of,  ii.  41 
injuries  of,  in  newborn,  iii.  695 


Skull 


94 


Spermatic 


Skull,  bones  of,  osteitis  of,  prevention,  ii.  41 

periostitis  of,  i.  41 

Pott's  puffy  swelling  of,  ii.  41 

syphilis  of,  ii.  41 

tuberculosis  of,  ii.  4r 

tumors  of,  ii.  42 
brain  and,  relations,  ii.  46 
cancer  of,  ii.  42 
defects  of,  bone  grafts  for,  i.  775 

operation  for  covering,  i.   700 

osteoplastic  operations  for,  i.  711 
deformities  of,  ii.  42 
fractures  of,  i.  533.     See  also  Fractures  of 

skull. 
landmarks  of,  ii.  45 
measure  for  determining  thickness  of,  ii. 

32 
operations  on,  ii.  26 

head  prepared  for,  ii.  33 

instruments  for,  i.  26 

local  anesthesia  for,  i.  140 

prevention  of  shock,  i.  215 

trephine  for,  ii.  26,  27 
osteoma  of,  ii.  42 
sarcoma  of,  ii.  42 

simple  indentation  of,  in  newborn,  iii.  695 
steeple,  ii.  42,  17S 
sutures  of,  ii.  45,  46 
topography  of,  ii.  48 
Sleep,  twilight,  i.  124 
Sliding  bone  grafts,  i.  509 

flaps,  plastic  operations  with,  iii.  630 
hernia  of  large  intestine,  iii.  49 
splint  of  Volkmann,  i.  491 
Slings,  i.  49 
Slipping  of  knots  in  sutures,  prevention,  iii. 

809 
Sloughing  from  paraffin  prosthesis,  iii.  692 
gangrene,  i.  3r9 
ulcers,  i.  314 
wounds,  i.  221 
Smith-Hodge  pessary,  iii.  387 
Smithies'  nonoperative  treatment  of  gastric 

ulcer,  ii.  720 
Smith's  method  of  amputation  of  leg,  iii. 

of  disarticulation  at  knee-joint,  iii.  592 
operation  in  cataract,  ii.  170 
preliminary  capsulotomy  for  immature 

cataract,  ii.  r68 
spring  dressing  in  harelip,  ii.  268,   269 
Smoke  asphyxia,  resuscitation  in,  iii.  733 
Snake  bite,  i.  274 

treatment,  i.  275 
Snapping  finger,  iii.  456 

hip,  iii.  465 
Snare,  i.  79 

Soap,  alcoholic,  as  antiseptic,  i.  72 
enema,  ii.  620 

treatment  of  infected  wounds,  i.  248 
Sodium  borate  as  antiseptic,  i.  67 

citrate  method  of  indirect  blood  trans- 
fusion, i.  356 
dimethylarsenate  in  syphilis,  i.   298 
hypochlorite  as  antiseptic,  i.  61,  64 
in  infected  wounds,  i.  242,  247 
in  peritonitis,  ii.  5sr 


Sodium     oxymercury-orthonitro-phenolate 
as  antiseptic,  i.  59 

persulphate  in  tetanus,  i.  268 

succinate  in  infections,  i.  258 
Soft  palate.     See  Palate,  soft. 
Soft-flap  rhinoplasty  with  septum  recon- 
struction, iii.  667 
Soiled  wounds,  treatment,  i.  i85 
Solidified  alcohol  as  antiseptic,  i.  72 
Solutions,  i.  57,  58 

acid  bichlorid,  as  antiseptic,  i.  39 

boro-salicylic,  as  antiseptic,  i.  68 

gutta-percha,  as  protective,  i.  53 

hypertonic,  injection  of,  i.  138 

hypochlorite,  method  for,  i.  62 

hypotonic,  injection  of,  i.  138 

isotonic,  injection  of,  i.  138 

Labarraque's,  as  antiseptic,  i.  64 

Locke's,  i.  58 

McDonald's,  as  antiseptic,  i.  70 

Ringer's,  i.  58 

saline,  chlorinated,  i.  63 

Schiassi's,  i.  58 

table  of,  i.  60 

Thiersch's,  i.  41 
as  antiseptic,  i.  68 

Woelfler's  i.  73 

Wright's,  i.  58 
Solveol  as  antiseptic,  i.  66 
Somnoform  anesthesia,  i.  118 
Sore,  Oriental,  i.  273,  314 

Pendjeh,  i.  273 
Soresi's  blood  transfusion  apparatus,  i.  352 
Sound,  introduction  of,  in  stenosis  of  esoph- 
agus, ii.  433 
method,  iii.  184 

lacrimal,  ii.  177 
Spasm  of  esophagus,  ii.  442 

of  facial  muscles,  i.  888 

of  glottis,  ii.  221 

of  laryn.x,  ii.   221 

of  orbicularis  muscle,  ii.  1 20 

tetanic,  i.  264 
Spasmodic  stenosis  of  pylorus,  ii.  720 

stricture  of  urethra,  iii.   286 

torticollis,  ii.  376 
Spastic  flat-foot,  operation  in,  iii.  489 

paralysis  from  hemorrhage  in  newborn, 
iii.  697 
rhizotomy  in,  ii.  346 
Special  sensation,  brain  areas  of,  ii.  45 
Specific  arthritis,  acute,  i.  660 

nasal  infections,  ii.  188 

synovitis,  acute,  i.  660 
Speculum,  aural,  ii.  302 

nasal,  ii.   181 

rectal,  hinged,  iii.  55 
open-frame,  iii.  55 

vaginal,  iii.  398 
Speech,  brain  center  of,  ii.  44 
Spermaceti  wax  for  filling  bone  cavities,  i. 
705 
in  resection  of  joints,  i.  705 
Spermatic  cord,  iii.  301,  303 
hydrocele  of,  iii.  3x6 
torsion  of,  iii.  307 
wounds  of,  iii.  304 


Spermatic 


95 


Splints 


Spermatic  nerve   plexus,  resection   of,   for 

dysmenorrhea,  iii.  396 
Spcrraatoccle,  iii.  31O 
Sphagnum  cymbifolium,  i.  42 
Sphenoid  sinuses,  ii.  180 

suppuration  of,  ii.   198 
Sphincter  ani,  dilatation  of,  iii.  60 

rupture  of,  with  laceration  of  perineum, 

iii.  342 
stretching  of,  iii.  60 
wounds  of,  iii.  60 
of  bladder,  incontinence  of,  iii.  207 
Sphygmomanometer,  use  of,  in  amputation, 

iii.  SOI 
Spica  bandage,  iii.  741 
of  buttock,  iii.  768 
of  foot  and  ankle,  iii.  774 
covering  heel,  iii.  775 
exposing  heel,  iii.  775 
of  groin,  ascending,  iii.   767 
descending,  iii.  768 
thigh  bandage  with,  iii.  768 
of  shoulder,  ascending,  iii.  753 

descending,  iii.  754 
of  thumb,  iii.  761 
Spiders,  bites  of,  i.   276 
Spiller-Frazier  method  of  dividing  sensory 

root  of  Gasserian  ganglion,  ii.  107 
Spina  bifida,  ii.  349 

bone  grafts  in,  i.  783 
Spinal  accessory  nerve,  diseases  and  injuries 
of,  i.  890 
grafting  of,  in  facial  paralysis,  i.  882 
resection  of,  in  torticollis,  ii.  376 
anesthesia,  i.  15s 

cerebrospinal  fluid  in,  i.  156 
cocain  in,  i.  156 
high,  i.  161 
in  sciatica,  i.  879 
lumbar  puncture  in,  i.  158 
novocain  in,  i.  156 
stovain  in,  i.  156 
technic,  i.  157 
tropocain  in,  i.  156 
canal,  anastomosis  of  anterior  nerve  roots 

in,  ii.  348 
cord,  concussion  of,  ii.  324 
contusion  of,  ii.  324 
extrapial  hemorrhage  compressing,  ii. 

hemorrhage  into,  ii.  325 
tumors  of,  ii.  338 

medullary,  extrusion  treatment,  ii. 
342 
laminectomy  in,  ii.  341 
spinal  decompression  in,  ii.  344 
ganglia,  excision  of,  in  gastric  crises  of 

tabes  ii.  348 
injection  of  antitetanic  serum,  i.  266 
nerves,  anastomosis  of  anterior  roots  of, 
in  spinal  canal,  ii.  348 
posterior  roots  of,  division  of,  ii.  344. 
See  also  Rhizotomy. 
operations  on,  ii.  344 
Spindle-cell  sarcoma  of  bones,  i.  709 
Spine,  ii.  322 

abscess  of,  non-tuberculous,  ii.  327 


Spine,  anatomy,  ii.  322 

bone   grafts   of,    i.   776.     See  also  Bone 

grafts  of  spine. 
hysterical,  ii.  355 
irritable,  i.  681 
joints  of,  sprains  of,  ii.  324 
lateral   curvature  of,   ii.  352.     See   also 

Scoliosis. 
ligaments  of,  relaxation  of,  ii.  357 
neurotic,  ii.  355 
osteitis  of,  non-tuberculous  rarefying,  ii. 

osteomyelitis  of,  ii.  326 

rachitic,  ii.  350 

relation  of  nerve  roots  to,  ii.  323 

sprains  of  ligaments  of,  ii.  357 

tuberculosis  of,  ii.  327.     See  also  Pott's 

disease. 
tumors  of,  ii.  338 
wounds  of,  bullet,  ii.  325 

stab,  ii.  325 
Spiral  bandage,  iii.  739 

of  fingers,  iii.  760 
circumcision  of  leg  for  varicose  veins,  i. 

453 

osteotome,  Cryer's,  ii.  28 

reverse  bandage,  iii.  739 
Spleen,  a.  784 

abscess  of,  ii.  784 

anatomy,  ii.  784 

cysts  of,  ii.  785 

effects  of  removal  of,  ii.  784 

hydatid  cysts  of,  ii.  785 

hypertrophy  of,  ii.  785 

injuries  of,  ii.  784 

operations  on,  ii.  787 

physiology,  ii.  784 

prolapse  of,  ii.  784 

resection  of,  ii.  787 

rupture  of,  ii.  784 

tuberculosis  of,  ii.  785 

tumors  of,  ii.  785 

twisted  pedicle  of,  ii.  785 

wandering,  ii.  7S5 

wounds  of,  ii.  784 
Splenectomy,  ii.  787 
Splenic  anemia,  ii.  785 

leukemia,  .T-rays  in,  iii.  705 
Splenopexy,  ii.  787 
Splints,  ambulatory,  i.  522 

double  armed,  for  fractures  of  clavicle,  i. 

53° 
lateral,  in  fractures  of  shaft  of  femur,  i. 

592 
right  angle,  for  fractures  of  humerus,  i. 

529 
Dupuytren,  in  Pott's  fracture,  i.  606 
emergency,  i.  472 
extemporized,  i.  474 
Goldthwait's  thumb,  i.  582 
for  club-foot,  iii.  472 
hip,  in  fractures  of  shaft  of  femur,  i.  591 
Hodgen's,  in  impacted  fracture  of  neck  of 

femur,  i.  585 
in  malposition  of  joints,  i.  684 
interdental,  in  fractures  of  lower  jaw,  i. 

S42,  544,  546 


Splints 


96 


Sterility 


Splints,   interdental,  moulded,  in  fractures 
of  jaw,  i.  542 

Lovett's,  in  tuberculosis  of  hip,  i.  671 

Matas',  for  fractures  of  lower  jaw,  i.  545 

materials  for,  i.  477 

nasal,  ii.  180 

Penhallow's,  in  fractures  of  shaft  of  hu- 
merus, i.  561 

plaster-of-Paris,  i.  477.     See  also  P/a5*er- 
of-Paris  splints. 

rolled,  i.  477 

rubber  tube,  in  nasal  fractures,  i.  539 

scaffold,  in  fracture  of  shaft  of  humerus, 
i.  564 

side,  for  fracture  of  femur,  i.  492 

silicate  of  soda,  i.  485 

sliding,  of  Volkmann,  i.  491 

starch  paste,  i.  485 

suspension,  bed  frame  for  supporting,  i. 
488 
in  fractures  of  shaft  of  femur,  i.  591 

Thomas',  in  impacted  fracture  of  neck  of 
femur,  i.  585 
in  tuberculosis  of  knee,  i.  675 

traction,  in  tuberculosis  of  hip,  i.  669 

wire  frame  suspension,  i.  487 
Split  bandage  of  eye,  iii.  779 

retractors,  i.  49 

T-bandage  iii.  781 
Spondylitis  deformans,  ii.  326 

traumatic,  ii.  326 

tuberculous,  ii.  327.     See  also  Poll's  dis- 
ease. 

typhoid,  ii.  326 
Spondylolisthesis,  ii.  350     • 

bone  grafts  in,  i.  783 
Sponges,  i.  42 

abdominal,  i.  44 

counting  of,  i.  172 

flat,  i.  44 

gauze,  i.  43 

hand,  i.  43 

holders  for,  i.  79 

laparotomy,  i.  44 

nurse  in  charge  of,  i.  169 

sea,  i.  42 

stick,  i.  44 
Sponging  in  abdominal  operations,  ii.  515 
Spongy  angioma,   i.  454 
Spontaneous  cerebral  apoplexy,  ii.  58 
temporal  craniotomy  in,  ii.  58 

cure  in  cancer,  i.  331 ' 

dislocations,  i.  613 

gangrene,  i.  320 

subluxations  of  wrist,  i.  638 

thrombosis  of  sinuses  of  dura  mater,  ii. 

Sporotrichosis,  i.  838 

Spots,  genital,  of  Fliess,  iii.  394 

liver,  i.  840 
Sprains,  i.  650 

of  ankle,  i.  650 

of  hip,  i.  652 

of  knee,  i.  651 

of  ligaments  of  spine,  ii.  357 

of  sacro-iliac  joint,  i.  651 

of  shoulder,  i.  652 


Sprains  of  spinal  joints,  ii.  324 

of  temporomaxillary  joint,  i.  651 

of  vertebrae,  i.  651 

of  wrist,  i.  652 

old,  i.  650 
Spring-eyed  needles,  i.  79 
Spurious  meningocele,  ii.  25 
Squamous  blepharitis,  ii.  119 

suture,  ii.  46 
Square  bandage,  iii.  783 
Ssabanajefl's     method    of    amputation  of 

thigh,  iii.  596 
Stab  wounds,  i.  219 
of  brain,  ii.  62 
of  spine,  ii.  325 
of  spleen,  ii.  784 
Stagnation  mastitis,  ii.  473 
Stains,  port-wine,  i.  453 

silver,  removal  of,  i.  67 
Stapes,  ii.  299 
Staphylococci,  infection  of   wounds   with, 

i.  212 
Staphyloma,  ii.  r2S 

of  sclera,  ii.  129 

operations  for,  ii.  152 
Starch  bandages,  i.  56 

iodized,  for  infected  wounds,  i.  242 

paste  splints,  i.  485 
Starvation  treatment  of  inoperable  cancer, 

i-  333 
Stasis,  intestinal,  acute,  ii.  614 
chronic,  ii.  610 

chronic  constipation  in,  ii.  613 
colostomy  for,  ii.  574 
from  redundant  sigmoid,  ii.  612 
Static  foot,  iii.  490 
Stations  in  local  anesthesia,  i.  129 
Status  lymphaticus,  ii.  39s 

as  factor  in  operation,  i.  181 
general  anesthesia  in,  i.  102 
thymicus,  ii.  394 
Steam,  live,  as  hemostatic,  i.  339 
sterilizer,  i.  29 
therapeutic  uses,  i.  57 
Steatoma,  i.  84s 
Steeple  skull,  ii.  42,  178 
Stenosis,  acquired,  of  larynx,  ii.  218 
of  trachea,  ii.  218 
congenital,  of  larynx,  ii.  218 

of  trachea,  ii.  2r8 
of  cardiac  orifice  of  stomach,  ii.  715 
of  esophagus,  cicatricial,  ii.  433 

congenital,  ii.  433 
of  uterus,  iii.  375 

pyloric,  ii.  717.     See  also  Pyloric  stetiosis. 
Stephanion,  ii.  45 
Sterile  water,  i.  57 
anesthesia,  i.  139 
preparation  of,  i.  32 
Sterility,   anastomosis   of   vas    deferens  to 
epididymis  of  opposite  side  for,  iii.   312 
from  obstructive  aspermia,  iii .  311 
in  female,  iii.  437 
in  male,  iii.  322 

operations  on  Fallopian  tubes  for,  iii.  428 
to  induce,  iii.  428 
technic,  iii.  429 


Sterility 


97 


Stone 


Sterility,  production  of,  by  partial   vasec- 
tomy, iii.  320 
Sterilization,  i.  28 
by  boiling  water,  i.  31 
by  chemicals,  i.  30 
by  dehydration,  i.  30 
by  heat,  i.  28 
by  oxidation,  i.  30 
by  sun's  rays,  i.  30 
fractional,  i.  28 
of  bladder  instruments,  iii.  183 
of  catgut,  i.  34.     See  also  Calgul,  steriliz- 
ation of. 
of  dressings,  i.  31 
of  forearms,  i.  173 
of  hands,  i.  173 

acetone-pyxol  method,  i.  174 
cresol-acetone  method,  i.  174 
permanganate  of  potash  method,  i.  1 74 
tannin  method,  i.  174 
tincture  of  iodin  method,  i.  174 
of  instruments,  i.  89 
of  rubber  gloves,  i.  52 
dry-air  method,  i.  52 
glycerin  method,  i.  52 
sulphuric  acid  method,  i.  52 
of  surgical  materials,  i.  a 
Sterilizer,  combination,  i.  31 
hot-water,  i.  29 
steam,  i.  29 
Sterilizing  room,  i.  167 
Sternoclavicular  joint,  arthritis  of,  ii.  398 
Sternomastoid  muscle,  excision  of,  in  torti- 
collis, ii.  375 
tendons  of,  tenotomy  of,  i.  S15 
Sternothoracotomy,  transverse,  ii.  459 
Sternum,  fracture  of,  i.  548 

median  division  of,  to  expose  mediastina, 

ii.  459 
Stewart's  method  of  posterior  gastro-enter- 

ostomy  ii.  768 
Stick  sponges,  i.  44 

Stimson's  method  of  reducing  hip  disloca- 
tions, i.  641,  644 
shoulder  dislocations,  i.  629 
Stimulation  in  general  anesthesia,  i.  98 

dangers  of,  i.  98 
Stings  of  insects,  i.  275 
Stitch-hole  abscesses  in  abdominal  wall,  ii. 

537 
Stock  vaccines,  i.  256 
Stockings,  operation,  i.  48 
Stoffel's  method  of  partial  rhizotomy,  ii.  347 
Stomach,  ii.  698 
adenoma  of,  ii.  703 
anatomy,  ii.  698 
benign  tumors  of,  ii.  703 
cancer  of,  ii.  703.     See  also   Cancer   of 

slomach. 
cardiac  orifice,  stenosis  of,  ii.  715 
cirrhosis  of,  ii.  702 

crises  of  tabes,  excision  of  spinal  ganglia 
in,  ii.  34S 
rhizotomy  for,  ii.  347 
cysts  of,  ii.  703 
dilatation  of,  ii.  713 
acute,  ii.  615,  714 


Stomach,  dilatation  of,  chronic  atonic,  ii.  713 

gastroplication  in,  ii.  714 
foreign  bodies  in,  ii.  714 

removal,  ii.  244 
fundus  of,  ii.  698 
hemorrhage  of,  ii.  727 

operation  for,  ii.  728 
hour-glass,  ii.  706 

gastroplasty  for,  ii.  709 

by  transverse  incision  in,  ii.  70^ 
inflammations  of,  ii.  702 
lavage,  ii.  700 

continuous,  ii.  701 

contraindications,  ii.  701 

in  peritonitis,  ii.  547,  550 

indications  for,  ii.  701 

method,  ii.  700 
lipoma  of,  ii.  703 
lymphatics  of,  ii.  699 
myoma  of,  ii.  703 
nerve  supply,  ii.  700 
operations  on,  ii.  730 
operative  exposure  of,  ii.  700 
perforation  of,  perigastric  abscess  from, 

ii.  727 
postoperative  dilatation  of,  ii.  615 
preparation  of,  for  operation,  i.  180 
P3'loric  end,  resection  of,  ii.  751 

gastrojejunostomy  after,  ii.  755 
rupture  of,  ii.  702 
sarcoma  of,  ii.  703 
syphilis  of,  ii.  702 
tube,  ii.  700 

introduction  of,  ii.  700 
tuberculosis  of,  ii.  702 
ulcer  of,  ii.  720.    Sie&a\iO  Ulcer  of  stomach. 
volvulus  of,  ii.  715 

wall,  canalization  of,  gastrostomy  by,  ii. 
736 

posterior,  route  of  approach,  ii.  780 

suppuration  in,  ii.  702 
washing  out,  ii.  700     See  also  Stomach 


-203 


wounds  of,  ii.  702 
Stomatitis,  ii.  246 
gangrenous,  i.  319;  ii.  247 
gonorrheal,  ii.  247 
membranous,  ii.  247 
mycotic,  ii.  246 
parasitic,  ii.  246 
Stone  in  bladder,  iii.  197 

crushing  of,  iii.  198 

in  women,  iii.  203 

litholapa.xy  for,  iii.  i? 

lithotrity  for,  iii.  198 

operation  in,  iii.  198 
choice  of,  iii.  198 

prevention,  iii.  197 

recurrence,  iii.  19S 

suprapubic  cystotomy  for,  iii.  203 

urinary  retention  from,  iii.  211 

vaginal  cj-stotomy  for,  iii.  203 
in  kidney,  iii.  152 

operations  for,  iii.  153 
in  prostate,  iii.  24S 
in  ureter,  iii.  152,  157 

operations  for,  iii.  153 


Stone 


Subcutaneous 


Stone's    dietetic    treatment    o£    ulcer    of 

I'  stomach,  ii.  721 

Store  room,  i.   167 

Stovain  as  local  anesthetic,  i.  136 

as  spinal  anesthetic,  i.  156 
Strabismus,  ii.  174 
alternating,  ii.  1 75 
complete  tenotomy  of  internal  rectus  in, 

ii.  175 
indications  for  operation  in,  ii.   1 75 
open  operation  in,  ii.  175 
special  conditions  in,  ii.  176 
subconjunctival  operation  in,  ii.  175 
unilateral,  ii.  175 
Strains  of  sacro-iliac  joint,  iii.  461 
Strangulated  hemorrhoids,  iii.  74 
hernia,  iii.  22 
dangers,  iii.  21 
operation  in,  iii.  23 
prognosis,  iii.  23 
Strangulation  of  omentum,  ii.  620;  iii.  24 

of  penis,  iii.  251 
Straps,  adhesive,  for  wounds,  i.  187,  188 
Strassmann's   operation   for   forming   new 

vagina,  iii.  360 
Strauss's     method     of    reconstruction     of 
pylorus  by  transplantation  of  tissue,  ii. 
773-777 
Streptococcus  infection,  i.  262 
of  teeth,  ii.  276 
viridans  theory  of  arthritis  deformans,  ii. 
613 
Stretcher,  iii.  724 
apron,  iii.  725 
improvised,  iii.  725 
Stretching  of  nerves,  i.  860 

sphincter  ani,  iii.  60 
Stricture  of  bronchi,  ii.  422 

of   bulbomembranous   urethra,    filiform, 

iii.  291 
of  common  bile-duct,  iii.  117 
of   deep   urethra,   impermeable,   iii.  294 
of  esophagus,  ii.  433 

dilatation  of,   by  electrolysis,   ii.  438 
rapid,  ii.  438 
with  mercury,  ii.  435 
with  sound,  ii.  433 
gastrostomy  in,  ii.  436 
internal  esophagotomy  in,  ii.  438 
introduction  of  sound  for,  ii.  433 
operative  treatment,  ii.  436 
stricture,  ii.  438 
of  intestines,  ii.  609 

chronic  obstruction  from,  ii.  610 
of  penile  urethra,  internal  urethrotomy 

for,  iii.  292 
of  rectum,  iii.  64 

external  proctotomy  in,  iii.  65 
internal  proctotomy  in,  iii.  65 
syphilitic,  iii.  65 
of  ureter,  iii.   156 
of  urethra,  iii.  286 

anterior,  impermeable,  iii.  294 
complete  urethrectomy  for,  iii.  300 
continuous  dilatation  in,  iii.  290 
deep,  with  obliteration,  iii.  298 
dense  obliterating,  iii.  298 


Stricture  of  urethra,  external  urethrotomy 
for,  iii.  294 
filiform,  iii.  289 

impermeable,  iii.  294 
gradual  dilatation,  iii.  288 
impermeable,  iii.  297 
inflammatory,  urinary  retention  from, 

iii.   210 
meatotomy  for,  iii.  288 
of  large  caliber,  iii.  288 
of  small  caliber,  iii.  293 
operations  for,  iii.  288 
organic,  iii.  287 

partial  urethrectomy  for,  iii.  300 
prostatic  urethrotomy  for,  iii.  299 
rapid  dilatation  in,  iii.  290 
retrograde  catheterization  in,  iii.  299 
spasmodic,  287 

urinary  retention  from,  iii.  210 
urethrectomy  for,  iii.  300 
with  extravasation  of  urine,  iii.  299 
with  false  passage,  iii.  299 
with  fistula,  iii.  299 
with  infection  of  bladder,  iii.  299 
with  retention  of  urine,  iii.  299 
Stridulous  laryngitis,  ii.  221 
Structural  scoliosis,  ii.  354 
Struma,  ii.  381 
Strumitis,  acute,  ii.  380 

chronic,  ii.  381 
Stump,  amputation,  iii.  514 
bandage  of,  iii.  776 
end-bearing  for  prosthetic  apparatus, 

iii.  614 
for  weight  bearing,  iii.  523,  541 
grafting  on,  iii.  502 

after-treatment,  iii.  540,  541 
length  of,  iii.  501 
Sturmdorf's   method   of   conical   trachelo- 

plasty,  iii.  367 
Stye,  ii.  119 

Styptics  in  hemorrhage,  i.  341 
Subacromial  bursa,  inflammation  of,  iii.  45T 

dislocation  of  clavicle,  i.  625 
Subacute  cholecystitis,  iii.   114 

salpingitis,  iii.  427 
Subarachnoid  hemorrhage,  ii.  57 
Subastragaloid  disarticulation  of  foot,  iii.  582 
Subcervical  fractures  of  great  trochanter  of 

femur,  i.  583 
Subclavian   aneurism,   i.  400 
artery,  anatomy  of,  i.  414 

compression  of,  in  hemorrhage,  i.  360 
ligation  of,  i.  413 
Subconjunctival  injections,  ii.  151 
in  eye  diseases,  ii.  179 
operation  in  strabismus,  ii.  175 
Subcoracoid  dislocation  of  clavicle,  i.  625 
Subcostal  incision,  exposure  of  kidney  by, 
iii.  162 
oblique  abdominal  section,  ii.  513 
operations  for  exposure  of  gall-bladder 
and  bile-ducts,  iii.  119 
Subcutaneous  abscess  of  finger-tip,  iii.  444 
drainage  in  ascites,  ii.  559 
emphysema  in  artificial  pneumothorax, 
ii.  417 


Subcutaneous 


99 


Suprapubic 


Subcutaneous  injections,  nutrient,  i.  20 
of  magnesium  sulphate   in   tetanus,   i. 

269 
of  proteids,  i.   21 
of  salvarsan  in  syphilis,  i.  297 
lengthening  of  tendons,  i.  801 
tenotomy,  i.  813 
in  torticollis,  ii.  374 
Subcuticular  suture,  i.   192 
Subcutin  as  local  anesthetic,  i.  137 
Subdeltoid  bursa,  inflammation  of,  iii.  451 
Subdiaphragmatic    abscess,    treatment,    ii. 

470 
Subdural  hemorrhage,  ii.  56 

intracranial    injections    of    salvarsan    in 

syphilis,  i.   296 
meningitis,  ii.  65 

pyogenic  organisms  in,  ii.  66 
Subglenoid  dislocation  of  shoulder,  i.  630 
Subglottic  laryngitis,  hypertrophic,  ii.  219 
Subhyoid  pharyngotomy,  ii.  229 
Sublamin  in  syphilis,  i.  295 
Sublingual  phlegmon,  ii.  362 
Subluxations  of  head  of  radius  by  traction, 
i-  637 
of  vertebrae,  i.  623 
of  wrist,  spontaneous,  i.  638 
Submaxillary  glands,  ii.  363 
Submental  glands,  ii.  363 
Submucous   resection  of  nasal  septum,  ii. 

190 
Suboccipital  osteoplastic  craniotomy,  ii.  36 
Subparotid  glands,  ii.  363 
Subperiosteal  excision  of  upper  jaw,  i.  722 
Subperitoneal  appendicitis,  iii.  loi 

drainage  in  congenital  ventricular  hydro- 
cephalus, ii.  97 
Subphrenic   abscess  in   peritonitis,   ii.  553 
Subpleural  diaphragmotomy  for  subphrenic 

abscess,  ii.  544,  555 
Subscapular  bursa,  inflammation  of,  iii.  451 
Substernomastoid  glands,  ii.  363 
Subtemporal  craniotomy,  ii.  106 

for  exposure  of  Gasserian  ganglion,  ii. 
106 
drainage  in  congenital  hydrocephalus,  ii. 
96 
Subtrochanteric  amputation  of   thigh,   iii. 
600 
osteotomy,   i.  714 
Subungual  hematoma,  i.  847;  iii.  457 
Sucking  thumbs,  prevention,  ii.  280 
Suction    apparatus    for    removing     brain 
tumors,  ii.   78 
drainage  of  bladder,  iii.  222 
treatment  of  rhinitis,  ii.   186 

of    suppurative    otitis    media,    ii.  310 
Suction-traction  massage  in  chronic  inflam- 
mation, i.  250 
Sugar  infusion,  i.  348 

solution  for  proctoclysis,  iii.  58 
Suggestion,  anesthesia  by,  i.   127 
Sulphuric  acid  as  antiseptic,  i.  72 

method     of     sterilization     of     rubber 
gloves,  _i.  52  _ 
ether  in  peritonitis,  ii.  55 r 
Sumac  poisoning,  i.  825 


Summers'  method  of  resecting  transverse 
colon  with  preservation  of  omentum,  ii. 
646 

Sunburn,    i.  825 

Sunshine  in  tuberculosis,  i.  279 
sterilization  by,  i.  30 

Superciliarv'  ridge,  ii.  46 

Superficial  felon,  iii.  443 
glossitis,  acute,  ii.  288 
chronic,  ii.  288 

Superfluous  hair,  i.  846 

Superheated  air  inhalations  in  bronchiec- 
tasis, ii.  419 

Superior  bronchoscopy,  ii.  242 

Supernumerary  auricle,  ii.  303 
fingers,  iii.  457 

Suppurating  wounds,  hot-air  treatment,  i. 

potassium  bitartrate  for,  i.  212 
Suppuration,  acute,  i.  251.     See  also  .46- 
scess. 
in  stomach  wall,  ii.  702 
of  ethmoid  sinuses,  ii.  197 

operation  in,  by  orbital  route,  ii.  198 
of  sphenoid  sinuses,  ii.  198 
Suppurative  choroiditis,  ii.  130 
orchitis,  iii.  305 
otitis  media,  acute,  ii.  307 

chronic,  ii.  308 
perforation  of  intestines,  ii.  581 
peritonitis,  diffuse,  ii.  548 

local,  ii.  548 
pyelitis,  iii.  147 
tendosynovitis,  acute,  iii.  446 
tonsillitis,  ii.   212 
Supra-auricular  point,  ii.  45 
Supracervical  fractures  of  great  trochanter 

of  femur,  i.  583 
Supraclavicular   glands,   ii.  363 
Supracondyloid   amputation   of   thigh,   iii. 
597 
fractures  of  femur,   i.  594 
of  humerus,  i.  567 
low,  i.  571 
osteotomy  of  femur  from  inner  side,  i. 

from  outer  side,  i.  715 
Suprahyoid  pharyngotomy,  ii.   229 
Supramalleolar  amputation  of  leg,  iii.  5S7 
Supra-orbital  arch,  ii.  46 
Suprapubic  aspiration  of  bladder,  iii.   213 
canulization  of  bladder,  iii.  213 
cervical  Cesarean  section,  iii.  408 
cystotomy,  iii.  214 

closure  of  wound,  iii.  215 

for  hypertrophy  of  prostate,  iii.  232 

for  stone  in  bladder,  iii.  203 

incision  for,  iii.  214 

preparations  for,  iii.  214 

transverse  suprapubic  incision    for,  ii. 

drainage  of  bladder,  iii.  221 
prostatectomy,  iii.  237 

advantages,  iii.  238 

after-treatment,  iii.  241 

anesthesia  for,  iii.  238 

bladder  irrigation  after,  iii.  241 


Suprapubic 


100 


Synovitis 


Suprapubic    prostatectomy  for  cancer,  iii. 

.247 

in  two  stages,  iii.  243 

local  anesthesia  in,  i.  131 

results,  iii.  242 

suprapubic  irrigation  after,  iii.  241 

suture  in,  iii.  241 

technic,  iii.  239 

urinary  antisepsis  after,  iii.  242 
Suprarenal  capsules,  effect  of  chloroform  on, 

i.  117^ 
glands,  iii.  181 

tuberculosis  of,  iii.  181 

tumors  of,  iii.  181 
Surface  contact  anesthesia,  i.  127 
Surgeon,  mental  attitude  of,  as  factor  in 

surgical  treatment,  i.  25 
operating  clothes  of,  i.  173 
personal  care,  i.  172 
private  room  for,  i.  167 
room  of,  i.  167 
Surgery,  ultimate  needs  and  destiny,  iii.  800 
Surgical  accessories,  i.  48 
anemia,  i.  343 
diseases,  i.  17 
expedients,  i.  87 
fevers,  aseptic,  i.  259 
instruments,  i.  75 
materials,  preparation  of,  i.  33 

sterilization  of,  i.  33 
practice  under  competition,  iii.  795 

under  cooperation,  iii.  799 

under  group  experts,  iii.  798 

under  State,  iii.  796 
scarlatina,  i.  261 
shock,  i.  213.     See  also  Shock. 
treatment,  economics  of,  iii.  79s 
Suspension   hammock  to  apply  jacket  in 

Pott's  disease,  ii.  329 
of  testicles  for  orchitis,  iii.  304 
splints,  bed  frame  for  supporting,  i.  488 

wire  frame,  i.  487 
Suspensory  bandage  of  breast,  triangular, 
iii.  791 

of  scrotum,  iii.  781 
hammock,  iii.  782 
Sutures,  i.  33,  187 
absorbable,  i.  33 
approximation,  i.  196 
bolster,  i.  197 
buried,  i.  191 
button,  i.  197 
chain,  i.  195 

tied,  i.  200 
coaptation,  i.  196 
continuous,  i.  190 
coronal,  ii.  45 
figure-of-eight,  i.  198 

double,  i.  198 

for  closing  abdominal  wound,  ii.  519 

in  abdominal  operations,  ii.  519 
infolding,  i.  201 
interlocking,  i.  201 
interrupted,  i.  187 
intestinal,     ii.  628.     See  also   Intestinal 

suture. 
knots  in,  to  prevent  slipping  of,  iii.  809 


Sutures,  lambdoid,  ii.  46 
mattress,  i.  195 
non-absorbable,  i.  33 
of  arteries,  i.  374 

absorbable  magnesium  rings  for,  i.  376 
human  hair  for,  i.  372 
invagination  method,  i.  376 
Joani's  clamp  for,  i.  374 
lateral,  i.  373 

plates  for,  i.  376 
temporary  compression  for,  i.  372 
of  bones  in  fractures,  i.  503 
of  heart,  ii.  427 
of  liver,  iii.  107 
of  nerves,  primary,  i.  853 
secondary,  i.  853,  854 
time  required  to  regain  functions  after, 
i.  850 
of  scalp  wounds,  ii.  19 
of  ureter,  iii.  173 
pin,  i.  197 

primary  delayed,  for  infected  wounds,  iii. 
811 
for  infected  wounds,  iii.  811 
purse-string,  i.  201 
infolding,  iii.  809 
removal  of,  i.  211 
sagittal,  ii.  46 
shoemaker's,  i.  198 
strengthening  of,  by  autoplastic  fiaps,  i. 

203  _ 
subcuticular,  i.  192 
tension,  adhesive  support  for,  i.  198 
Swallowing  tongue,  ii.  287 
Sweating,  excessive,  of  hands,  i.  849 

of  skin,  i.  844 
Swelling  and  induration  of  testicles,  iii.  305 
Swollen  feet,  iii.  495 
Sycosis,  i.  847 

vulgaris,  radium  in,  iii.  714 
Sylvester's  method  of  artificial  respiration, 
iii.  719 
in  general  anesthesia,  i.  98 
Sylvian  fissure,  ii.  46 
line,  ii.  46 
point,  ii.  46 
Symblepharon,  ii.  119,  120 

operations  for,  ii.  150 
Sympathetic  ganglia,  cervical,  i.  898.     See 
also  Cervical  sympathetic  ganglia. 
ophthalmia,  ii.  130 
Symphysiotomy,  iii.  409 
technic,  iii.  409 
\vith  median  incision,  iii.  409 
with  short  transverse  incision,  iii.  410 
Synchysis,  ii.  134 
Syndactylism,  iii.  456 
Synechia,  anterior,  division  of,  ii.  156 

nasal,  ii.  195 
Synovectomy,  i.  710 
in  knee-joint,  i.  710 
for  infections,  i.  656 
Synovial  sheaths,  palmar,  iii.  447 
Synovitis,  i.  657 
atrophic,  i.  658 
chronic,  i.  658,  661 
e.xudative,  i.  658 


Synovitis 


101 


Tarsus 


Synovitis,  inft-ctivc,  acute,  i.  658 

riieumatic,  i.  C60 

specific,  acute,  i.  660 

traumatic,  i.  657 
Syphilis,  i.  2S3 

alopecia  in,  i.  303 

arsenobenzol  in,  i.  298 

arsphenamin  in,  i.  298 

as  factor  in  operation,  i.  1S2 

calomel  injections  in,  i.  28S 

chancre,  i.  302 
excision,  i.  284 

colloidal  gold  test  in,  i.  299 

diagnosis,  i.  283 

drugs  in,  i.  284 

dry  skin  lesions  in,  treatment,  i.  302 

gummatous  ulcerations  in,  treatment,  i. 
302 

hereditary,  i.  301 

herpes  progenitalis  in,  treatment,  i.  302 

hydrargyrism  in,  i.  289 

hydrotherapy  in,  i.  298 

hygiene  in,  i.  2 84 

intensive  treatment,  i.  299 

iodin  in,  i.  290 

iodism  in,  i.  291 

iritis  in,  i.  302 

local  lesions  of,  i.  302 

mercurialized  serum  in,  i.  289,  295 

mercury  in,  i.  284,  285.     See  also  Mer- 
cury in  syphilis. 

mercury-iodid  in,  i.  291 

mistakes  in  treatment,  i.  299 

mucous  patches  in,  treatment,  i.  302 

neosalvarsan  in,  i.  294 
by  enteroclysis,  i.  297 
oil  injections  of,  i.  297 

of  bones,  i.  470 
of  skull,  ii.  41 

of  brain,  ii.  75 

of  finger-tip,  iii.  444 

of  joints,  i.  680 

of  larynx,  ii.  223 

of  muscle,  i.  792 

of  optic  nerve,  i.  297 

of  ribs,  ii.  398 

of  stomach,  ii.  702 

of  thyroid  gland,  ii.  3S1 

of  tongue,  ii.  290 

of  vulva,  iii.  327 

opalescent     patches     in,     treatment,    i. 

potassium  iodid  in,  i.  290 

prevention,  i.  2S3 

primary  stage,  i.  300 

salvarsan  in,  i.  291.     See  also  Saharsan 

■in  syphilis. 
salvarsanized  serum  in,  i.  295 
secondary  stage,  i.  300 
self-healing  of,  i.  299 
sluggish  ulcers  in,  treatment,  i.  302 
sodium  dimethylarsenate  in,  i.  298 
sublamin  in,  i.   295 
tertiary  stage,  i.   300 
treatment  of  mother  during  pregnancy  in, 
i.  301 

of  newborn  in,  i.  301 


Syphilis,  treatment,  prophylactic,  of  parents 
before  conception,  i.  301 

Treponema  pallidum  in,  i.  283 

vegetations  in,  i.  302 

Wasscrmann  test  in,  i.  299 
Syphilitic  iritis,  ii.  129 

meningitis,  ii.  68 

nasopharyngitis,  ii.  205 

neuritis,  i.  862 

pachymeningitis,  ii.  65 

proctitis,  iii.  61 

retinitis,  ii.  134 

stricture  of  rectum,  iii.  65 

tenosynovitis,  i.  817 
Syphiloderma,  i.  838 
Syringes,  i.  79 

aspirating,  i.  81 

for  paraffin  prosthesis,  iii.  690 
Szymanowski-Kuhnt  operation  for  ptosis  of 

eyelids,  ii.  145 
Szymanowski's  operation  for  hypospadias, 

iii.  266 

Tabes,  gastric  crises  of,  excision  of  spinal 
ganglia  in,  ii.  348 
rhizotomy  for,  ii.  347 
Tabetic  arthropathy,  i.  681 
Table,  instrument,  i.  169 

knife  hold  of  operating  scalpel,  i.  185 
operating,  i.  85 
Talipes  calcaneus,  congenital,  iii.  482 

paralytic,  tendon  transplantation  in,  i. 
8r2 
cavus,  Ritschl's  dorsal  pad  for,  iii.  489, 

49° 
due  to  disease  of  bone,  iii.  484 
equinovarus,  iii.  469.     See  also  Club-foot. 
equinus,  congenital,  iii.  482 

paralytic,  tendon  transplantation  in,  i. 
812 
paralytic,  acquired,  iii.  482 
plantaris,  iii.  489 

valgus  from  faulty  healing  of  leg  fracture 
iii.  484 
paralytic,  tendon  transplantation  in,  i 
811 
varus,  congenital,  iii.  482 

paralytic,  tendon  transplantation  in,  i. 
812 
Tallow,  cosmetic  treatment  with,  iii.  688i 
Tamooning  around  rectum,  for  prolapse,  ii. 

68' 
Tanner's  ulcer,  i.  315 
Tannic  acid  method  for  catgut,  i.  37 
Tannin  method  of  hand  sterilization,  i.  See 
Tapping     arachnoid     space,    ii.  348.     174 
Lumbar  puncture. 
!       for  hydrocele,  iii.  314 
j       in    ascites,  ii.  557 

injection  after,  iii.  314 
Tarantula,  bites  of,  i.  276 
Tarsometatarsal  joint,  iii.  575 
Tarsorrhaphy,  ii.  143 

lateral,  ii.  143 
Tarsus,  dislocations  of,  i.  649 
excision  of,  i.  734 
I      fractures  of,  i.  608 


Tattoo 


102 


Tetanus 


Tattoo  marks,  removal  of,  from  skin,  i.  849 

Tattooing  cornea,  ii.  152 

Taxis  in  irreducible  hernia,  iii.   22 

dangers,  iii.  22 
T-bandages,  i.  49;    iii.  780 

split,   iii.   7S1 
Teale's  operation  for  symblepharon,  ii.  150 
Tears  of  vaginal  wall,  iii.  334 
Teeth,  ii.  274 

alveolar  abscess  of,  ii.  277 
caries  of,  ii.  275 

condition  of,  as  factor  in  surgical  treat- 
ment, ii.  274 
cysts  of,  ii.  280 

dead,  filling  and  crowning  of,  ii.  276 
decay  of,  prevention,  ii.  274 
extraction  of,  ii.  278.     See  also  Extrac- 
tion of  teeth. 
grafting  of,  ii.  279 
prophylactic  care  of,  ii.  276 
root  infections  of,  ii.  275 
streptococcus  infection  of,  ii.  276 
tumors  of,  ii.  280 
Temporal  artery,  ligation  of,  i.  412 

transplanting     flap     with,     in   plastic 
operation  on  cheek,  iii.  660 
craniotomy,  high,  for  exposure  of   Gas- 
serian  ganglion,  ii.  106 
in  spontaneous  cerebral  apoplexy,  ii. 

law,  for  exposure  of  Gasserian  ganglion, 
ii.  106 
osteoplastic  craniotomy,  ii.  34,  36 
Temporary   fecal   fistula,  ii.  686 

intestinal  fistula,  ii.  683 
Temporomaxil  ary     joint,     ank3'losis     of, 
arthroplasty  for,  i.  760 
exposure  of,  by  resection  of  zygoma,  i. 

740 
sprain  of,  i.  651 
Tendo   Achillis,   division  of,   for  flat-foot, 
iii.  487 
tenotomy  of,  local  anesthesia  in,  i.  147 
Tendons,  i.  796 
grafting,  i.  805  _ 
lengthening  of,  i.  799 

subcutaneous,  i.  801 
linen,  i.  801 
missing,  i.  804 
necrosis  of,  iii.  450 
of  quadriceps  femoris  "muscle,  luxations 

of,  i.  812 
reconstruction    of,    with    fascia,    i.  803 

with  transplanted  vein,  i.  803 
repair  of,  i.   796 
rupture  of,  i.  797 
shortening,  i.  804 
silk,  i.  801 

suturing  to  bone,  i.  804 
transplantation  of,  i.  805;  iii.  648.     See 
also  Transplantation  of  tendons. 
in  acquired  paralytic  talipes,  iii.  482 
wounds  of,  i.  796 
old.  i.  816 
Tendosynovitis,  acute  suppurative,  iii.  446 
Tennis  leg,  i.  788 
Tenon's  capsule,  advancement  of,  ii.  177 


Tenoplastic  amputations,  iii.  526 

operations  on  amputation  stump,  iii.  532 
Tenorrhaphy,  i.  796 
Tenosynovitis,  i.  817 

gonorrheal,  i.  817 

infective,  i.  817 

syphilitic,  i.  817 

toxemic,  i.  817 

traumatic,  i.  817 

tuberculous,  i.  817 
Tenotomy,  i.  813 

complete,  of  internal  rectus  in  strabismus, 
ii-  175 

graduated,  in  heterophoria,  ii.  176 

healing  in,  i.  814 

of  biceps  femoris  tendon,  i.  815 

of  flexor  hallucis  longus  tendon,  i.  815 

of  gracilis  tendon,  i.  815 

of  hamstring  tendons,  i.  815 

of  peronei  tendons,  i.  815 

of  sartorius  tendon,  i.  815 

of  semimembranosus  tendon,  i.  815 

of  semitendinosus  tendon,  i.  815 

of  sternomastoid  tendon,  i.  815 

of  tendo  Achillis,  i.  814 

local  anesthesia  in,  i.  147 

of  tibialis  anticus  tendon,  i.  814 
posticus  tendon,  i.  814 

open,  i.  813 

in  torticollis,  ii.  375 

partial,  in  heterophoria,  ii.  176 

subcutaneous,  i.  813 
in  torticollis,  ii.  374 
Tension  sutures,  adhesive  support  for,  i. 

198 
Tent,  operations  in,  i.  169 
Teratomata,  i.  327 

of  brain,  ii.  75 
Terebene,  as  antiseptic,  i.  72 
Terminal  anesthesia,  i.  128 
Testicles,  iii.  301,  303 

cancer  of,  iii.  306 

operation  for,  iii.  307 

contusions  of,  iii.  303 

dislocation  of,  iii.  307 

fungus  of,  iii.  306 

grafting  of,  iii.  321 

hematoma  of,  iii.  303 

hemorrhage  from,  iii.  303 

inflammations  of,  acute,  iii.  304 

mobility  of,  iii.  307 
abnormal,  iii.  307 

operations  on,  local  anesthesia  for,  i.  132 

rotation  of,  iii.  307 

sarcoma  of,  iii.  306 

suspension  of,  for  orchitis,  iii.  304 

sweUing  and  induration  of,  iii.  305 

tuberculosis  of,  iii.  305 

tumors  of,  iii.  306 

undescended,   iii.  308.     See   also    Unde- 
scended testicle. 

wounds  of,  iii.  303 
Tetanus,  i.  264 

chloral  in,  i.  267 

chloretone  in,  i.  267 

control  of  spasms  in,  i.   267 

elimination  in,  i.  267 


Tetanus 


103 


Thyroid 


Tetanus,  Fourth-of-July,  i.  270 
head,  i.   270 

magnesium  sulphate  in,  i.  268 
phenol  in,  i.  268 
postoperative,  i.  270 
prognosis,  i.   270 
prophylaxis,  i.   265;  iii.  813 
removal  of  Cocus  of  infection,  i.   267 
serum  treatment  i.  265.     See  also  Atili- 

telanic  serum. 
sodium  persulphate  in,  i.  268 
spasms  in,  i.  264 
specific  treatment,  iii.  813 
warm  bath  treatment,  i.   269 
Tetany,  ii.  394 

thymic,  ii.  39s 
T-fractures  of  lower  extremity  of  humerus, 

i-  57° 
Thecitis,  i.  817 

Thenar  space,  infections  of,  iii.  449 
Thermocautery,  i.  80,  83;  iii.  699 
Thermoradiotherapy,  iii.  706 
in  inoperable  cancer,  i.  332 
Thiersch's  solution,  i.  41 

as  antiseptic,  i.  68 
Thigh,  amputation  of,  iii.  594 
subtrochanteric,  iii.  600 
supracondyloid,  iii.  597 
through  condyles,  iii.  595 

osteoplastic,  iii.  596 
through  lower  third,  iii.  598 
through  shaft  of  femur,  iii.  598 
bandage  of,  iii.  769 

with  spica  of  groin,  iii.  768 
cineplastic  amputation  of,  iii.  538 
middle  of,  ligation  of  femoral  artery  in, 

i-  435 
quadriceps  extensor  of,  paralysis  of,  ten- 
don transplantation  in,  i.  812 
rider's,  i.  788 
Thirst  after  abdominal  operations,  ii.  533 
cure  in  bronchiectasis,  ii.  419 
postoperative,  i.  226 
sea  water,  proctoclysis  for,  iii.  58 
Thomas'  hip-splint  in  impacted  fracture  of 
neck  of  femur,  i.  585 
knee-spHnt  in  knee  tuberculosis,  i.  675 
Thompson's    curved    dilator    in    urethral 

stricture,  iii.  291 
Thoracic  aorta,  aneurism  of,  i.  396 
duct,  diseases  of,  ii.  361 

rupture  of,  in  abdomen,  ii.  361 

in  thorax,  ii.  361 
wounds  of,  i.  460;  ii.  361 
esophagus,  resection  of,  ii.  463 
exposure  of  diaphragm,  ii.  467 
nerve,  long,  injuries  to,  i.  896 
Thoracoplasty  in  bronchiectasis,  ii.  420 
in  empyema,  ii.  410 
in  tuberculosis,  ii.  418 
local  anesthesia  in,  i    148 
Thoracotomy,   intercostal,  simple,  in   em- 
pyema, ii.  403 
osteoplastic,  anterior,  ii.  458 
posterior,  ii.  459 
Thorax,  ii.  396 
anatomy,  ii.  396 


Thorax,  cancer  of,  extensive  recurrent,  ii.494 

concussion  of,  ii.  397 

contusions  of,  ii.  396 

operations  on,  local  anesthesia  for,  i.  147 

tumors  of,  ii.  444 
Thorner's  instruments  for  intubating  larynx, 

ii.  237 
Threading  needle,  method,  i.  191 
Throat,  clearing  of,  in  general  anesthesia,  i. 

97    . 
operations  on,  prevention  of  shock,  i.  215 
Thrombin  as  hemostatic,  i.  342 
Thrombophlebitis,  septic,  excision  of  pelvic 

veins  in,  i.  456 
Thromboplastin  in  hemorrhage,  i.  342 
Thrombosis,  i.  455 

of  cavernous  sinus,  ii.  72 
of  portal  vein,  i.  457 
of  venous  sinuses,  ii.  318 
of  dura  mater,  ii.  70 
infective,  ii.  71 
treatment,  i.  455,  456 
Thrush,  ii.  246 
Thumb,  amputation  of,  iii.  548 

of  first  metacarpal  bone  with,  iii.  551 
bandage  of,  spica,  iii.  761 
disarticulation  of,   at  metacarpophalan- 
geal joint,  iii.  548 
of  first  metacarpal  bone  with,  iii.  552 
dislocations  of,  i.  639 

of  proximal  phalanx,  i.  639 
fractures  of,  i.  582 
infections  of,  iii.  448 
splint,  Goldthwait's,  i.  582 
sucking,  prevention  of,  ii.  280 
Thymectomy,  ii.  395 
Thymic  asthma,  ii.  394 
dyspnea,  ii.  395 
epilepsy,  ii.  395 
tetany,  ii.  395 
Thymol,  as  antiseptic,  i.  72 
as  local  anesthetic,  i.  137 
Thymus  gland,  ii.  394 
enlarged,  ii.  393 

epilepsy  with,  ii.  loi 
hypertrophy  of,  ii.  446 
Thyreodectin  in  hyperthyroidism,tjii.  390 
Thyreoprivic  serum  in  hyperthyroidism,   ii. 
390  >  i  "> 

Thyroid  artery,  inferior,  ligation  of,fi.*4io 
superior,  ligation  of,  i.  411 
bandage  of  neck,  iii.  750 
gland,  anatomy,  ii.  380 
cancer  of,  ii.  3S1 
enucleation  of  growths  in,  ii.  3S5 
inflammation  of,  ii.  380 
ligation  of,  after-treatment,  ii.  393 

hyperthyroidism,  ii.  393 
lobe  of,  resection  of  part,  ii.  389 
operations  on,  local  anesthesia  for,  i. 

144 
sarcoma   of,   ii.  381 
secretion,  conditions  of  deficiency  of, 

"•.394 
syphilis  of,  ii.  3S1 
tuberculosis  of,  ii.  381 
glands,  accessory,  ii.  380 


Thyroidectomy 


104 


Tongue 


Thyroidectomy,  ii.  382,  392 

after-treatment,  ii.  393 

anesthesia  for,  ii.  392 

local  anesthesia  in,  i.  144 

Thyroiditis,  acute,  ii.  380 

chronic,  ii.  381 
Thyrotomy,  ii.  230 
Thyrotoxicosis,  ii.  389 

as  factor  in  operation,  ii.  182 
postoperative,  i.  227 
Tibia,  anterior  curvature  of,  iii.  468 
bone  grafts  from,  i.  772,  773 
excision  of,  i.  733 
fractures  of,  i.  603 

after-treatment,  i.  608 
of  shaft,  i.  603 
of  spine,  i.  654 
of  upper  end,  i.  603 
old,  with  vicious  union,  i.  608 
osteotomy  of,  i.  716 

of  shaft,  i.  716 
resection  of,  i.  733 
sarcoma  of,  i.  706 
tubercle  of,  avulsion  of,  i.  603 
Tibial  artery,  anterior,  ligation  of,  i.  443 
posterior,  ligation  of,  i.  441 
in  middle  of  leg,  i.  442 
nerve,  anterior,  injuries  to,  i.  898 
Tibialis  anticus,  tenotomy  of,  i.  814 

transplantation   of   extensor    proprius 
hallucis  for,  i.  809 
for  peroneus  tertius,  i.  810 
of  peroneus  longus  for,  i.  810 
posticus,  tenotomy  of,  i.  814 
Tic  convulsif,  i.  888 

douloureux,  i.  862.     See  also  Neuralgia, 
trifacial. 
Ticks,  bites  of,  i.  276 
Tied  chain  sutures,  i.  200 
Tincture  of  iodin,  surgical  uses,  i.  68 
Tinea  circinata,  i.  839 
favosa,  i.  838 
kerion,  i.  839 
tonsurans,  i.  839 

-t-rays  in,  iii.  704 
trichophytina,  i.  839 
versicolor,  i.  839 
Tinnitus  aurium,  i.  890 

operation  on  seventh  nerve  in,  ii.  112 
Tissues,  division  of,  in  amputation,  iii.  501 
grafting,  iii.  645 

redundant,  treatment  of,  in  amputation, 
iii.  SI 2 
Toe,  amputation  of,  with  all  of  metatarsal 
bone,  iii.  578 
claw-,  iii.  491 

great,  amputation  of,  with  all  of  meta- 
tarsal bone,  iii.  578 
disarticulation  of,  at  metatarsophalan- 
geal joint,  iii.  573 
hammer-,  iii.  491 

little,  amputation  of,  with  all  of  meta- 
tarsal bone,  iii.  578 
nail,  ingrown,  iii.  493 
overlapping,  iii.  491 

phalanx  of,    first,    amputation   through, 
iii-  573 


Toe,  pigeon-,  iii.  495 
Toe-drop,  paralytic,  iii.  483 
Toes,  amputation  of,  iii.  570 

aU,  with  part  of  all  metatarsal  bones, 

iii-  577 
with  part  of  metatarsal  bone,  iii.  576 
bandage  of,  iii.  77s 

disarticulation  of  all,  at  metatarsophalan- 
geal joints,  iii.  575 
with  metatarsal  bones,  iii.  580 
at  end  phalanges,  iii.  572 
smaller,  at  metatarsophalangeal  joint, 

iii-  574 

two  or  more  adjacent,  with  metatarsal 

bones,  iii.  579 

more    than   two,    disarticulation   of,    at 

metatarsophalangeal     joints,     iii.  574 

operations  on,  local  anesthesia  for,  i.  147 

phalanges  of,  end,  disarticulation  of,  iii. 

572 
smaller,  disarticulation  of,  at  metatarso- 
phalangeal joint,  iii.  S74 
two  or  more  adjacent,  disarticulation  of, 

with  metatarsal  bones,  iii.  579 
Toluenine,  as  antiseptic,  i.  65 
Toluol  method  for  catgut,  i.  34 
Tongue,  ii.  286 

abscess  of,  tuberculous,  ii.  290 
actinomycosis  of,  ii.  290 
bifid,  ii.  286 
burns  of,  ii.  288 
cancer  of,  ii.  292 

excision  for,  ii.  293.     See  aXso  Excision 
of  tongue  for  carcinoma. 

incurable,  alcohol  injections  in,  i.  869 

operation  in,  ii.  364 
congenital  defects,  ii.  286 
cracks  of,  ii.  289 
cysts  of,  ii.  292 
dyspeptic,  ii.  289 
epithelioma  of ,  radium  in,  iii.  712 
forceps  for  general  anesthesia,  i.  95 
foreign  bodies  in,  ii.  287 
frenum  of,  ulcers  of,  ii.  290 
furrows  of,  ii.  289 
herpes  01,  ii.  288 

holding,  in  general  anesthesia,  i.  97 
hypertrophy  of,  ii.  290 
inflammations  of,  ii.  288 
injuries  of,  ii.  287 
leprosy  of_,  ii.  290 
leukoplakia  of,  ii.  289 
nodules  of,  tuberculous,  ii.  2po[, 
operations  on,  local  anesthesia  for,  i.  143 
psoriasis  of,  i.  834;  ii.  289 
root,  tumor  of,  ii.  389 
swallowing,  ii.  287 
syphilis  of,  ii.  290 
trichinosis  of,  ii.  290 
tuberculosis  of,  ii.  290 
tumors  of,  ii.  291,  292 
ulcers  of,  ii.  289 

aphthous,  ii.  290 

dyspeptic,  ii.  289 

herpetic,  ii.  290 

mercurial,  ii.  290 

traumatic,  ii.   290 


Tongue 


105 


Transfusion 


Tongue,  wounds  of,  ii.  287 

gunshot,  ii.  2S8 
Tongue-tie,  ii.  287 
Tonsillectomy,  ii.  213 

after-treatment,  ii.  214 

anesthesia  in,  ii.  213 

hemorrhage  after,  ii.  214 

incomplete,  ii.  213 

indications  for,  ii.  213 

position  of  patient  for,  ii.  213 

results,  ii.  214 
Tonsillitis,  acute,  ii.  212 
catarrhal,  ii.  212 

caseous,  ii.  212 

chronic,  ii.  212 

follicular,  ii.  212 

membranous,  ii.  212 

suppurative,  ii.  212 
Tonsillotome,  ii.  213 
Tonsillotomy,  ii.  213 
Tonsils,  adherent,  ii.  216 

diseases  of,  ii.  212 

enucleation  of,  ii.  213,  214 

hypertrophy  of,  chronic,  ii.  212 

imbedded,  ii.  216 

lingual,  diseases  of,  ii.  290 

mycosis  of,  ii.  212 

operations  on,  through  neck,  ii.  367 

removal  of,  213 
partial,  ii.  213 
with  guillotine,  ii.  216 

tumors  of,  ii.  216 

palliative  treatment,  ii.  216 
Tooth  powders,  formulae  for,  ii.  275 
Torek's  method  of  exposing  thoracic  esopha- 
gus, ii.  462 

operation  for  inguinal  hernia,  iii.  35 
Torsion  in  hemorrhage,  i.  341 

of  omentum,  ii.  620 

of  pedicle  of  ovarian  tumors,  iii.  434 

of  spermatic  cord,  iii.  307 
Torticollis,  ii.  373 

acute,  ii.  373 

bilateral,  ii.  375 

chronic,  ii.  373 

stretching  and  manipulation'in,  ii.  373 

division  of  posterior  muscles  in,  ii.  375 

excision  of  sternoraastoid  muscle  in,   ii. 
375 

fixation  in,  ii.  373 

habitual,  ii.  377 

ocular,  ii.  377 

open  tenotomy  in,  ii.  375 

paralytic,  ii.  377 

rachitic,  ii.  377 

resection  of  posterior  cervical  nerves  in, 
ii.  376 
of  spinal  accessory  nerve  in,  ii.  376 

rheumatic,  ii.  377 

spasmodic,  ii.  376 

subcutaneous  tenotomy  in,  ii.  374 

treatment  after  operation,  ii.  375 
Total  laryngectomy,  ii.  231 
Tourniquet,  impromptu,  in  hemorrhage,  i. 

33S 
Tow  dressings,  i.  41 
Towels,  i.  48 


Tower  head,  ii.  42 
Toxemia,  intestinal,  i.  259 

chronic,  ii.  610 
Toxemic  tenosynovitis,  i.  817 
Toxic  neuritis,  i.  S62 
Toxins,  erysipelas,  in  inoperable  cancer,  i. 

332 
Trachea,  ii.  217 

acquired  stenosis  of,  ii.  218 
burns  of,  ii.  219 
congenital  stenosis  of,  ii.  218 
contusions  of,  ii.  219 
examination,  ii.  217 
foreign  bodies  in,  ii.  224 

removal,  ii.  244 
fractures  of,  ii.  219 
inflammations  of,  ii.  220 
injuries  of,  ii.  219 
malformations  of,  ii.  218 
mucus  in,  after  operation,  i.  227 
operations  on,  ii.  217,  226 

local  anesthesia  for,  i.  143 
resection  of,  ii.  237 
treatment,  ii.  217 
tumors  of,  ii.  224 
wounds  of,  ii.  220 
Tracheoplasty,  conical,  iii.  367 
Trachelorrhaphy,  intermediate,  iii.  362 
later,  iii.  363 
primary,  iii.  362 
Tracheoscopy,  ii.  225,  239 

position  of  patient  for,  ii.  240 
Tracheotomy,  ii.  226 
high,  ii.  227 
indications  for,  ii.  225 
local  anesthesia  in,  i.  143 
low,  ii.  228 

operative  complications,  ii.  228 
postoperative  care,  ii.  229 

complications,  ii.  229 
tubes,  ii.  227 

with  excision  of  non- toxic  goiter,  ii.  389 
Trachoma,  ii.  123 
operations  for,  ii.  150 
true,  ii.  124 
Traction,  continuous,  in  fractures,  i.  487 
frame,  lever,  Zuppinger's,  i.  494 
in  fractures,  continuous,  i.  487 
measurement  of  legs  in,  i.  493 
of  femur,  i.  490 
temporary,  i.  485 
transverse,  i.  498 
wires,  from  skin,  i.  493 
splint  in  tuberculosis  of  hip,  i.  669 
Transduodenal  choledochotomy,  iii.  131 
Transfusion,  blood,  i.  348 

abdominal  blood  for,  iii.  Si  8 
agglutination  test  in,  i.  355 
donor  in,  i.  34S 
for  prevention  of  shock,  i.  214 
Hartwell's  method,  i.  352 
hemolysis  in,  i.  34S 

test  for,  i.  355;  iii.  814 
in  hemorrhage,  i.  343,  348 
in  leukemia,  i.  466 
in  septicemia,  i.  260 
indirect,  i.  353 


Transfusion 


306 


Tricot 


Transfusion,   blood,   indirect,    amount    of 
blood,  i.  354 
Kimp ton-Brown  method,  iii.  Si 7 
Lewisohn's  method,  i.  356 
Lindeman's  method,  i.  353 
sodium  citrate  method,  i.  356 
with  glass  tubes,  iii.  817 
Soresi's  apparatus  for,  i.  352 
tests  of  donor's  blood,  i.  355;  iii.  814 
vein-to-vein,  i.  348 
Vincent's  tube  for,  i.  354 
with  preserved  red  blood-cells,  iii.  815 
Transitory  cineplastic  amputation,  iii.  538 
Transmesocolic     route     of     approach     to 

pancreas,  ii.  779 
Transpelvic  amputation  at  hip-joint,  iii.  605 
Transperitoneal  cystotomy,  iii.  221 
fixation  of  kidney,  anterior,  iii.  170 
nephrectomy,  iii.  167 
operation  in  bladder  tumors,  iii.  197 
Transplantation,  blood-vessel,  iii.  647 
cartilage,  iii.  648 
intestinal,  formation  of  new  vagina  by, 

iii.  359 
of  amputated  members,  iii.  649 
of  arteries,  iii.  648 
of  cornea,  ii.  153 
of  extensor  proprius  hallucis  for  tibialis 

anticus,  i.  809 
of  fat  into  orbit  after  enucleation,  ii.  i5o 
of  joints,  i.  767 
of  nasal  cartilage,  ii.  192 
of  nerves,  heteroplastic,  i.  857 

homoplastic,  i.  857 
of  organs  and  parts,  iii.  648 
of  ovary  from  one  to  another,  iii.  438 
of  parathyroid  glands,  ii.  394 
of  peritoneum,  iii.  648 
of  peroneus  longus  for  tibialis  anticus,  i. 

810 
of  tendons,  i.  805;  iii.  648 
after-treatment,  i.  808 
general  principles  and  technic,  i.  805 
in  acquired  paralytic  talipes,  iii.  482 
in  paralysis  of  biceps  of  arm,  i.  812 
of  extensors  of  hand,  i.  812 
of  quadriceps  extensor  of  thigh,  i.  81 2 
in  paralytic  talipes  calcaneus,   i.  812 
equinus,  i.  812 
valgus,  i.  811 
varus,  i.  812      , 
indications  and  results,  i.  808 
of  tibialis  anticus  for  peroneus  tertius,  i. 

810 
of  veins,  iii.  648 
of  vermiform  appendix,  iii.  649 
Transplanted  bone  grafts,  i.  511 
Transportation  of  injured,  iii.  723 
by  aeroplane,  iii.  728 
by  ambulance,  iii.  727 
by  stretcher,  iii.  724 
travois  for,  iii.  726 
Transvaginal  exposure   of  ureter,   iii.  172 
rectal  drainage  of  bladder  for  inconti- 
nence, iii.  331 
Transverse  abdominal  incision,  ii.  507-512 
laryngotomy,  ii.  230 


Transverse  traction  in  fractures,  i.  498 
Trapezius  muscle,  paralysis  of,  i.  795 
Traumatic  aneurism,  i.  380 

arteritis,  i.  380 

asphyxia,  hemorrhage  in,  i.  360 

cataract,  ii.  133 

immediate  removal,  ii.  173 

congestion,  i.  228 

delirium  in  fractures,  i.  527 

emphysema,  i.  820 

gangrene,  i.  317 

hysteria,  ii.  103 

insanity,  primary,  ii.  102 

neurasthenia,  ii.  103 

neuritis,  i.  862 

ossifying  myositis,  i.  792 

paralysis   in   general   anesthesia,    i.  100 

psychoses,  ii.  102 

rupture  of  tympanic  membrane,  ii.  306 

spondylitis,  ii.  326 

synovitis,  i.  657 

tenosynovitis,  i.  817 

thrombosis  of  sinuses  of  dura  mater,  ii.  72 

ulcers  of  tongue,  ii.  290 
Traumatism  in  etiology  of  appendicitis,  iii.  87 

of  arteries,  i.  371 

of  joints,  i.  650 

of  peritoneum,  ii.  542 

of  skin,  i.  820 

of  vagina,  iii.  333 

of  veins,  i.  446 

retroversion  of  uterus  from,  iii.  389 
Travois  for  transporting  injured,  iii.  726 
Treatment,  surgical,  i.  17,  184 
Trench-foot,  i.  319 

Trendelenburg's  method  of  controlling 
hemorrhage  in  disarticulation  at  hip- 
joint,  iii.  604 

operation  in  varicose  veins,  i.  449 
Trephine,  ii.  26,  27 

sclera,  ii.  163 
Trephining  in  basal  fractures  of  skull,  i.  536 

of  sclera,  simple,  in  glaucoma,  ii.  162 
Treponema  pallidum,  i.  283 
Triangle,  carotid,  inferior,  ligation  of  com- 
mon carotid  at,  i.  407 

mesenteric,  ii.  625 

postmeatal,  of  ear,  ii.  300 

superior  carotid,  i.  406 

ligation  of  common  carotid  artery  at, 
i.  408 
Triangular  bandage,  i.  49;  iii.  783 
fronto-occipital,  iii.  784 
iliofemoral,  iii.  792 
of  chest,  iii.  791 
of  foot,  iii.  792 
of  hand,  iii.  792 
of  knee,  iii.  792 
of  shoulder,  iii.  791 

sling  bandage  of  forearm,  iii.  790 

suspensory  bandage  of  breast,  iii.  791 
Trichinosis,  i.  792 

of  tongue,  ii.  290 
Trichloriodin  as  antiseptic,  i.  69 
Trichophytosis,  i.  839 
Trichorrhexis  nodosa,  i.  847 
Tricot  bandages,  i.  55 


Tricresol 


107 


Tuberculosis 


Tricresol  as  antiseptic,  i.  66 

Trifacial  neuralgia,  i.  865.     See  also  A'raro/- 

gia,  trifacial. 
Trigeminal  nerve.     See  Fifth  nerve. 

operations  on,  local  anesthesia  for,  i. 

Trigger-finger,  iii.  456 
Trigonum  of  bladder,  iii.   182 
Tripolith  bandages,  i.  56 
Tritetrabromnaphthol  as  antiseptic,  i.  60 
Trocar  and  canula,  i.  79 
Trombidiosis,  i.  S48 
Trombidium  irritans,  i.  848 
Trophic  gangrene,  i.  320 

ulcers,  i.  313 
Tropical  dysentery,  ii.  570 
Tropocain  as  local  anesthetic,  i.   136 

as  spinal  anesthetic,  i.  156 
Trunk,  bandages  of,  iii.  765 
Truss  for  hernia,  frame,  iii.  17 

in  hernia,  prognosis  with,  iii.  21 
Trypaflavin  as  antiseptic,  i.  65 
Trypsin  injections  in  inoperable  cancer,  i. 

333 
Tryptan  red,  as  urinary  antiseptic,  iii.  142 
Tubal  abortion,  iii.  435 
Tubercle,  carotid,  i.  407 

of  tibia,  avulsion  of,  i.  603 

retro-orbital,  ii.  46 
Tubercular  lymphadenitis,  i.  461 

proctitis,  iii.  61 
Tuberculin  in   nodular  lymphatic  kerato- 
conjunctivitis, ii.   125 

in  tuberculosis,  i.  257 
of  joints,  i.  663 

Koch's,  i.   257 

new,  i.  257 

Oberst,  i.  258 

Riickstand,  i.  257,  258 
Tuberculosis,  i.  276 

about  naUs,  i.  848 

artificial  pneumothorax  in,  ii.  416 

as  factor  in  operation,  i.  182 

bacillus  emulsion  in,  i.  258 
sensitized,  i.  258 

Bier's  hyperemia  in,  i.  280 

cutis,  i.  837 

diet  in,  i.  277 

drainage  of  lung  cavities  in,  ii.  416 

drugs  in,  i.  279,  280 

fresh  air  treatment,  i.  278 

genital,  iii.  144 
in  women,  iii.  439 

heliotherapy  in,  i.  280;  iii.  707 

interpleural  pneumolysia  in,  ii.  418 

light  treatment,  i.  280 

local  treatment,  i.  279 

of  ankle,  i.  678 

of  bladder,  iii.  193 

of  bones,  i.  469 

filling  bone  cavities  from,  i.  706 
of  skull,  ii.  41 

of  brain,  ii.  75 

of  breast,  ii.  475 

of  cecum,  ii.  575 

of  choroid,  ii.  130 

of  elbow,  i.  679 


Tuberculosis  of  epididymis,  iii.  305 
of  finger-tip,  iii.  444 
of  hip,  i.  665 

abscess  in,  i.  672 

acute  stage,  i.  666 

ambulatory  treatment,  i.  668,  671 

Bradford  frame  in,  i.  666 

complications,  i.  672 

convalescent  stage,  i.  668,  672 

deformity  in,  672 

double,  i.  673 

immobilization  in,  i.  666,  668 

in  adults,  i.  673 

Lovett's  splint  in,  i.  671 

operative  treatment,  i.  673 

plaster-of-Paris  splint  in,  i.  668 

subacute  stage,  i.  668 

traction  splint  in,  i.  669 
of  intestines,  ii.  574 
of  joints,  i.  663 

amputation  in,  i.  665 

arthrectomy  in,  i.  665 

constricting  band  in,  i.  232 

excision  in,  i.  665 

formalin-glycerin  in,  i.  281 

general  treatment,  i.  663 

heliotherapy  in,  i.  664 

hyperemic  treatment,  i.  664 

injection  treatment,  i.  664 

light  treatment,  i.  664 

local  treatment,  i.  663 

operative  treatment,  i.  664 

protection  of  joint  in,  i.  664 

rest  in,  i.  663 

tuberculin  treatment,  i.  663 

tuberculous  foci  in,  i.  664 
of  kidney,  iii.  149 

nephrectomy  in,  iii.  149,  167 
of  knee,  i.  674 

amputation  in,  i.  677 

arthrectomy  in,  i.  677 

convalescence  in,  i.  677 

excision  in,  i.  677 

flexion-deformity  in,  i.  675 

gradual  extension  in,  i.  676 

heliotherapy  in,  i.  675 

immobilization  in,  i.  674 

old  cases,  i.  676 

osteotomy  of  femur  in,  i.  677 

protection  from  traumatism  in,  i.  675 

Thomas'  knee-splint  in,  i.  675 

traction  in,  i.  675 
of  larynx,  ii.  222 
of  liver,  iii.  112 
of  metacarpal  joints,  i.  680 
of  metatarsal  joints,  i.  680 
of  muscles,  i.  792 
of  ovary,  iii.  431 
of  phalangeal  joints,  i.  680 
of  pharj'nx,  ii.  207 
of  prostate,  iii.  230 
of  ribs,  ii.  398 

of  sacro-iliac  joint,  i.  6S0;  ii.  355 
of  seminal  vesicles,  iii.  278 
of  shoulder-joint,  iii.  450 
of  skin,  i.  837 

.r-rays  in,  iii.  705 


Tuberculosis 


108 


Tumors 


Tuberculosis   of   spine,   ii.    327.     See   also 
Poll's  disease. 
of  spleen,  ii.  785 
of  stomach,  ii.  702 
of  suprarenal  glands,  iii.  181 
of  testicles,  iii.  305 
of  thyroid  gland,  ii.  381 
of  tongue,  ii.  290 
of  urethra,  iii.  272 
of  uterus,  iii.  370 
of  vulva,  iii.  327 
of  wrist,  i.  680 
operative  treatment,  i.  281 
pneumectomy  in,  ii.  416 
pneumolysis  in,  ii.  418 
predisposing  causes,  i.  277 
principles  of  treatment,  i.  277 
prophylaxis,  i.  276 
resection  of  costal  cartilages  in,  ii.  419 

of  lungs  in,  ii.  416 
rest  in,  i.  279 
serum  treatment  in,  i.  279 
sunshine  in,  i.  279 
surgical.  Bier's  hyperemia  for,  i.  232 
heliotherapy  for,  iii.  707 
sea-shore  treatment,  i.  279 
thoracoplasty  in,  ii.  418 
tuberculin  in,  i.  257 
vaccine  treatment,  i.  279 
verrucosa,  i.  837 
a;-rays  in,  iii.  705 
Tuberculous  abscess,  i.  281 
aseptic  aspiration,  i.  281 
Bier's  hyperemia  in,  i.  282 
evacuation,  i.  282 
of  tongue,  ii.  290 
adenitis,  ii.  368 

nonsurgical  treatment,  ii.  369 
technic  of  operation  for,  ii.  370 
appendicitis,  iii.  loi 
bursitis,  i.  819 
cystitis,  iii.  193 
empyema,  ii.  413 
fistula,  i.  282 

foci  in  bones,  uncomplicated,  i.  470 
hydrothorax,  ii.  413 
laryngitis,  anesthesia  in,  i.  137 
lymph-glands  of  neck,  ii.  368 

nonsurgical  treatment,  ii.  369 
technic  of  operation  for,  ii.  370 
meningitis,  ii.  68 
nodules  of  tongue,  ii.  290 
perforation  of  intestines,  ii.  581 
peritonitis,  ii.  554 
salpingitis,  iii.  428 

spondylitis,  ii.  327.     See  aiso  Poll's  dis- 
ease. 
tenosynovitis,  i.  817 
Tuberosity  of  tibia,  painful  enlargement  of, 

iii.  466 
Tube,  Eustachian.     See  Eustachian  tube. 
Tubes,  drainage,  i.  44,  45 
glass,  i.  46 
rubber,  i.  45 
self-retaining,  i.  46 
tracheotomy,  ii.  221 
Tumors,  i.  323 


Tumors,  benign  connective-tissue,  i.  323 
epithelial,  i.  324 
brain,  blindness  with,  ii.  178 
epilepsy  from,  ii.  loi 
extirpation  of,  i.  323 
fibroid,  partial  hysterectomy  for,  iii.  41^ 
ganglion,  i.  818 
intraspinal,  ii.  338 
malignant.     See  also  Cancer. 
mesenteric,  ii.  563,  564 
of  abdominal  wall,  ii.  538 
of  appendix,  Hi.  104 
of  axMa,  iii.  453 
of  bladder,  iii.  194 
inoperable,  iii.  197 
transperitoneal  operation  in,  iii.  197 
route  for  removal,  iii.  224 
of  bones.     See  Bones,  tumors  of. 
of  brain,  ii.  75 

active  treatment,  ii.  76 
antisyphilitic  treatment,  ii.  76 
blindness  with,  ii.  178 
curative  treatment,  ii.  77 
dangers  of  lumbar  puncture  in,  ii.  77 
decompression  m,  li.  78 
indications  for  operation,  ii.  75 
localizing  indications,  ii.  75 
palliative  operations  in,  ii.  78 
results  of  operation,  ii.  82 
suction  apparatus  in,  ii.  78 
two-stage  operations  in,  ii.  78 
of  breast,  mixed,  ii.  475 
of  broad  ligament,  iii.  426 
of  chest  wall,  ii.  444 
of  choroid,  ii.  130 
of  conjunctiva,  ii.  124 
of  cornea,  ii.  128 
of  cranial  bones,  ii.  42 
of  diaphragm,  ii.  470 
of  esophagus,  ii.  445 
of  eyelid,  ii.  120 
of  face,  ii.  115 
of  gums,  ii.  280 
of  hypophysis,  intraduralapproach  to,  iii. 

819 
of  intestines,  ii.  582 

chronic  obstruction  from,  ii.  610 
of  iris,  ii.  129 
of  jaws,  ii.  286 
of  kidney,  iii.  151 
of  lacrimal  gland,  ii.  136 
of  Kps,  benign,  ii.  254 
of  hver,  iii.  112 
of  lower  extremities,  iii.  462 
of  lung,  ii.  445   _ 
of  male  breast,  ii.  497 
of  maxillary  antrum,  ii.  197 
of  mediastinum,  ii.  446 
of  meninges,  ii.  75 
of  muscles,  i.  792 
of  nasal  cavity,  benign,  ii.  i88 
of  nasopharynx,  ii.  208 
of  neck,  ii.  372 
solid,  ii.  372 
of  nerves,  i.  880 
of  nipples,  ii.  473 
of  nose,  ii.  188 


Tumors 


109 


Ulcer 


Tumors  of  omentum,  ii.  620 
of  optic  nerve,  ii.  135 
of  orbit,  ii.  137 

removal  of,  ii.  163 
of  ovary,  iii.  431 

operation  for,  iii.  432 

torsion  of  pedicle,  iii.  434 
of  palate,  ii.  255 
of  pancreas,  ii.  782 
of  pelvis,  iii.  460 
of  penis,  iii.  252 
of  pericardium,  ii.  445 
of  peritoneum,  ii.  557 
of  pituitary  body,  ii.  S3 
of  pleura,  ii.  445 
of  prostate,  iii.  246 
of  rectum,  iii.  74 

benign,  iii.  74 

malignant,  iii.  75 
of  root  of  tongue,  iii.  3S9 
of  sacrococcygeal  region,  iii.  460 
of  salivary  glands,  ii.  379 
of  scalp,  ii.  24 
of  sclera,  ii.  129 
of  scrotum,  iii.  303 
of  seventh  nerve,  removal  of,  ii.  113 
of  spinal  cord,  ii.  338 

medullar}',   extrusion   treatment,  ii. 

laminectomy   in,   ii.  341 
spinal  decompression  in,  ii.  344 

of  spine,  ii.  338 

of  spleen,  ii.  785 

of  stomach,  ii.  703 

of  suprarenal  glands,  iii.  iSi 

of  teeth,  ii.  280 

of  testicles,  iii.  306 

of  thorax,  ii.  444 

of  tongue,  ii.  291,  292 

of  tonsUs,  ii.  216 

palliative  treatment,  ii.  216 

of  trachea,  ii.  224 

of  umbilicus,  ii.  537 

of  ureter,  iii.  156 

of  urethra,  iii.  272 

of  uterus,  iii.  372 

fibroid,  radium  in,  iii.  712 

of  vagina,  iii.  356 

of  vertebae,  ii.  338 

of  vulva,  iii.  327 

parovarian,  iii.  434 

retroperitoneal,  ii.  563 

special  tissue,  i.  323 
Tunica  vaginalis,  hematocele  of,  iii.  303 
Tunnel  skin-grafting,  iii.  644 
Turbinated  bones,  ii.  179 
hypertrophy,  ii.  186 
removal,  ii.  186 
Turck's    mattress    interlocking   stitch    for 

intestinal  suture,  ii.  636 
Turf-moss  dressings,   i.  42 
Turpentine  enema,  ii.  620 
Twilight  sleep,  i.  124 
Two-glass  test  in  gonorrhea,  iii.  279 
Tying  knots,  methods  of,  i.  190 

with  one  hand,  i.  203 
Tylosis,  i.  84S 


Tympanic  deafness,  advanced,  ii.  319 
membrane,  ii.  299 

examination  of,  ii.  302 
incision  of,  in  acute  otitis  media,  ii.  307 
traumatic  rupture  of,  ii.  306 
ulcerative  rupture  of,  ii.  306 
wounds  of,  ii.  301 
Typhlitis,  11.  576 
Typhoid  appendicitis,  iii.  loi 
arthritis,  i.  65o 
bacillus  carriers,   surgical  treatment,   iii. 

IIS 
infection  of  gall-bladder,  iii.  115 
osteitis,  i.  469 
spine,  ii.  326 
spondylitis,  ii.  326 
ulcer,  perforating,  ii.  580 

Ulcer,  i.  30S 
acute,  i.  314 
applications  for,  i.  308 
bleeding,  i.  314 
chronic,  i.  314 
curettage  of,  i.  309 
diabetic,  i.  314 
dressings  for,  i.  308 
eczematous,  i.  314 
edematous,  i.  314 
excision  of,  i.  309 
exuberant,  i.  314 
fungous,  i.  314 
gastrojejunal,  ii.  580 
herpetic,  fulguration  for,  iii.  703 
indolent,  i.  312 

x-rays  in,  iii.  706 
indurated,  i.  313 
inflamed,  i.  312 
irritable,  i.  313 
jejunal,  ii.  580 
later  results,  i.  225 
malignant,  i.  315 
Marjolin's,  i.  315 
neuralgic,  i.  313 
of  cornea,  ii.  125 

simple,  ii.  125 
of  duodenum,  ii.  576.     See  a\so  Duodenal 

ulcer. 
of  esophagus,  ii.  433 
of  foot,  perforating,  iii.  494 
of  frenum  of  tongue,  ii.  290 
of  intestines,  ii.  576 
of  leg,  heliotherapy  for,  iii.  707 
of  lips,  ii.  246 
of  soft  palate,  ii.  255 
of  stomach,  ii.  720 

actual  cautery  in,  ii.  724 

dietetic  treatment,  ii.  721 

excision  of,  ii.  723 

gastro-enterostomy  in,  ii.  722 

hyperchlorhydria  in,  treatment,  ii.  722 

indications  for  operation  in,  ii.  722 

limitations  of   medical   treatment,   ii. 

723 
near  pylorus,  ii.  723 
nonoperative  treatment,  ii.  720 
perforating,  ii.  726 
resection  of,  ii.  759 


tricer 


110 


Urethra 


Ulcer  of  stomach,  results  of  operation  in,  ii. 
724 
of  tongue,  ii.  289 
aphthous,  ii.  290 
dyspeptic,  ii.  289 
herpetic,  ii.  290 
mercurial,  ii.  290 
traumatic,  ii.  290 
of  uvula,  ii.  255 
painful,  i.  312 
perforating  typhoid,  ii.  580 
phagedenic,  i.  313 
pressure  on,  i.  309,  313 
rodent,  i.  315 
scarification  of,  i.  310 
scorbutic,  i.  314 
sloughing,  i.  314 
sluggish  syphilitic,  i.  302 
tanner's,  i.  315 
trophic,  i.  313 

varicose,  i.  310.     See  also  Varicose  ulcers. 
venereal,  non-syphilitic,  iii.  251 
Ulcerated  hemorrhoids,  iii.  74 
Ulceration,    distortions    and    contractions 
following,  iii.  693 
from  .T-rays,  iii.  720 
of  bladder,  chronic  infiltrating,  iii.  194 
of  esophagus,  ii.  432 
of  rectum,  amebic,  iii.  61 
Ulcerative  proctitis,  iii.  61 

rupture  of  tympanic  membrane,  ii.  306 
Ullmann's  invagination  method  of  intestinal 

anastomosis  with  ring  or  bobbin,  ii.  658 
Ulna  and  radius,  union  of,  iii.  451 
dislocations  of,  forward,  i.  637 
inward,  i.  637 
of  lower  end,  i.  638 
excision  of,  i.  731 
fractures  of,  i.  572 
of  shaft,  i.  573,  574 
of  styloid  process,  i.  579 
resection  of,  i.  731 
sarcoma  of,  i.  707 
Ulnar  artery,  ligation  of,  i.  424 
bursa,  infections  of,  iii.  448,  449 
nerve,  dislocation  of,  i.  897 
injuries  of,  i.  897 
Ultra-violet  rays  in  erysipelas,  i.   263 
Umbilical  cord,  hernia  of,  iii.  45 
hernia,  iii.   18,  40 

large,  operation  for,  iii.  42 
operation  for,  iii.  40 
local  anesthesia  in,  i.  150 
with  double  sliding  flap,  iii.  43 
with   purse-string   wire   suture,   iii. 

44 
with  transverse  flap,  iii.  43 
small,  operation  for,  iii.  40 

purse-string  operation  for,  iii.  41 
Umbilicus,  cysts  of,  ii.  537 
diseases  of,  ii.  537 
fistula  of,  ii.  537 
infections  of,  ii.  537 
tumors  of,  ii.  537 
Unconscious  patients,  moving,  i.  184 
Undescended  testicle,  iii.  308 

Sevan's  operation  for,  iii.  308 


Undescended  testicle,  late  cases,  iii.  309 

preliminary  operation  in,  iii.  310 
Unguentum  hydrargyri  in  syphilis,  i.  286 
Unilateral  strabismus,  ii.  175 
Union,  delayed,  in  fractures,  i.  527 
faulty,  in  fractures,  i.  527 
fibrous,  in  fractures,  i.  528 
Universal  scarf  bandage,  iii.  793 
Unna's   zinc-gelatin   dressings   in   varicose 

ulcers,  i.  310 
Upper  extremities,  amputations  of,  iii.  542 
bandages  of,  iii.  753,  760 
diseases  of,  iii.  441 
nerves  of,  injuries  to,  i.  896 
prosthetic  apparatus  for,  iii.  607 
Urachus,  cysts  of,  ii.  538 
diseases  of,  ii.  538 
fistulas  of,  ii.  538 
Uranium,  iii.  709 
Ureter,  iii.  156 
anatomy,  iii.  140 

catheterization  of,  by  air  distention,  iii. 
188 
in  female,  iii.  1S8 
exposure  of,  operative,  iii.  171.     See  also 

Exposure  of  ureter. 
female,   iii.  326 
fistula  of,  iii.  157 

implantation  of,  iii.  176.     See  also  Im- 
plantation of  ureter. 
injuries  of,  iii.  156 
occlusion  of,  accidental,  iii.  156 
operations  on,  iii.  157 
stone  in,  iii.  152,  157 

operations  for,  iii.  153 
stricture  of,  iii.  156 
suture  of,  iii.  173 
tumors  of,  iii.  156 
Ureteritis,  iii.  156 
Ureterocolostomy,  iii.  17S 
Ureterocystostomy,  iii.  176 
Ureteroplasty,  iii.  174 
Ureteropyelostomy,  iii.  180 
in  hydronephrosis,  iii.  153 
Ureterorrhaphy,  iii.  173 
Uretero-ureteral  anastomosis,  iii.  174 
Uretero-ureterostomy,  iii.  174 
by  lateral  implantation,  iii.  17s 
end-into-end,  by  invagination,  iii.  175 
oblique  end-to-end,  iii.  175 
transverse  end-to-end,  iii.  174 
Ureterovaginal  fistula,  iii.  353 

following  hysterectomy,  iii.  353 
Ureterovesicovaginal  fistula,  iii.  353 
Urethra,  iii.  248 
abscess  of,  iii.  272 
acute  inflammation,  urinary  retention 

from,  iii.  210 
anatomy,  249 
cancer  of,  iii.  272 
contusions  of,  iii.  271 
cysts  of,  iii.  272 
female,  iii.  324 
fistula  of,  iii.  274 
acquired,  iii.  274 
with  stricture,  iii.  299 
foreign  bodies  in,  iii.  273 


Urethra 


111 


Vaccines 


Urethra,  foreign  bodies  in,  urinary  retention 
from,  iii.  2ir 
impermeable  stricture  of,  iii.  2go 
inflammations  of,  simple,  iii.  272 
injuries  of,  iii.  250,  271 

extravasation  of  urine  in,  iii.  271 
male,  iii.  248 
membranous,  iii.  249 
operations  on,  local  anesthesia  in,  i.  151 
orifice  of,  fibrous  contracture,  iii.  24G 
papilloma  of,  iii.  272 
penile,  iii.  249 

injuries  of,  iii.  250 
polyp  of,  fulguration  for,  iii.  703 
prolapse  of,  iii.  331 
prostatic,  iii.  249 
rupture  of,  urinary  retention  from,  iii. 

210 
stricture  of,  iii.   286.     See  also  Stricture 

of  urethra. 
tuberculosis  of,  iii.  272 
tumor    compressing,    urinary    retention 

from,  iii.  211 
tumors  of,  iii.  272 
wounds  of,  iii.  271 
Urethral  caruncle,  iii.  328 
drainage  of  bladder,  iii.  222 
fever,  iii.  275 
orifice,  iii.  1S2 
shock,  iii.  275 
Urethrectomy,   complete,   in  stricture,  iii. 
300 
for  stricture,  iii.  300 
partial,  for  stricture,  iii.  300 
Urethritis,   gonorrheal,   iii.  279.     See   also 
Gonorrhea. 
non-specific,  iii.  272 
simple,  iii.  272 
Urethrorectal  anastomosis  for  incontinence 
of  urine,  iii.  331 
fistula,  iii.   274 
Urethrorrhaphy,  iii.  274 
Urethrotome,    Otis',    for   cutting   urethral 

stricture,  iii.  292 
Urethrotomy,    external,   for   stricture,   iii. 
294 
perineal,  simplified,  of  Barney,  iii.  296 
vesiculotomy  combined  with,  iii.  278 
with  guide,  iii.  297 
without  guide,  iii.  297 
internal,   in   stricture  of  penile   urethra, 

iii.  292 
prostatic,  for  stricture,  iii.  299 
Urethrovaginal   fistula,   iii.  349 
Urinary  bladder,  papilloma  of,  fulguration 
for,  iii.  700 
meatus,  external,  iii.  24S 
female,  iii.  324 
internal  female,  iii.  324 
Urine,  antisepsis  of,  iii.  141 

continuous  lumbar  drainage  of,  iii.   180 
extravasation  of,  in  urethral  injuries,  iii. 
271 
stricture  of  urethra  with,  iii.  299 
incontinence  of,  iii.  207 

paraffin  prosthesis  for,  iii.  691 
local  antiseptics,  iii.  142 


Urine,  retention  of,  iii.  209.     See  also  Re- 
tention of  urine. 

after  abdominal  operations,  ii.  533 

postoperative,  i.  226 

stricture  of  urethra  with,  iii.  299 
Urticaria,  i.  827 

Uterine  canal,  dilatation  of,  iii.  398 
Uterocystostomy,  iii.  180 
Uterosacral  ligaments,  iii.  325 
Uterus,  anatomy,  iii.  325 
and  vagina,  double,  iii.  357 
anteflexion  of,  iii.  385 
anteversion  of,  iii.  383 
appendages  of,  iii.  326 
cancer  of,  iii.  374 

fulguration  for,  iii.  703 

radium  in,  iii.  711 
cavity  of,  curettage  of,  iii.  399 
cornu  of,  iii.  325 
displacements  of,  iii.  376 
fibroid  tumors  of,  radium  in,  iii.  712 
fibromyoma  of,  iii.  372 
gonorrhea  of,  iii.  285 
hemorrhage  from,  iii.  362 
hernia  of,  iii.  51 

infantile,  amenorrhea  from,  iii.  397 
inflammations  of,  iii.  368 
inversion  of,  iii.  3S3.     See  also  Inversion 

of  uterus. 
lateroflexion  of,  iii.  385 
lateroversion  of,  iii.  385 
myoma  of,  radium  in,  iii.  712 
operations  on,  iii.  397 

local  anesthesia  in,  i.  152 

preparation  for,  i.  180 
perforation  of  wall,  with  curet,  iii.  401 
polypus  of,  iii.  372 
pregnant,  puncture  of,  iii.  361 
prolapse  of,  iii.  376.     See  also  Prolapse 

of  uterus. 
retention  of,  in  abdomen,  in   Cesarean 

section,  iii.  40S 
retroflexion  of,  iii.  386 
retroversion  of,  iii.  386 
rudimentary,  iii.  375 
rupture  of,  iii.  361 
sarcoma  of,  iii.  375 
stenosis  of,  iii.  375 
suture  of,  iii.  361 
transplantation    of    ectopic    pregnancy 

from  Fallopian  tube  to,  iii.  437, 
tuberculosis  of,  iii.  370 
tumors  of,  iii.  372 
ventrosuspension  of,  for  retroversion,  iii. 

393 

vessels  of,  iii.  326 

wounds  of,  iii.  360 
Uveitis,  ii.  130 
Uvula,  bifid,  ii.  255 

diseases  of,  ii.  255 

elongation  of,  ii.  255 
Uvulotomy,  ii.  255 

V.xcciNES,  i.  255 

antigonococcus,  in  gonorrhea,  iii.  283 
autogenous,  i.  256 

in  pruritus  ani,  iii.  65,  S18 


Vaccines 


112 


Vault 


Vaccines,  autogenous,  results  from,  i.  256 
Coccobacillus  foetidus  ozcense,  in  ozena, 

ii.  188 
colon  bacillus,  in  appendicitis,  iii.  88 
desiccated,  in  hydrophobia,  i.  273 
dosage,  i.  256 
in  anthrax,  i.  272 
in  boils,  i.  253 
in  burns  of  skin,  i.  824 
in  chronic  intestinal  stasis,  ii.  611 

suppurative  otitis  media,  ii.  310 
in  eczema,  i.  832 
in  erysipelas,  i.  264 
in  furunculosis,  i.  829 
in  joint  infections,  i.  257 
in  osteomyelitis,  i.  257 
in  psoriasis,  i.  835 
in  puerperal  septicemia,  i.   257 
in  ringworm  of  scalp,  i.  840 
in  septicemia,  i.  256,  260 
in  tuberculosis,  i.  257,  279 
Micrococcus  catarrhalis,  in  ozena,  ii.  188 
mixed,  i.  256 
stock,  i.  256 

technic  of  injections,  i.  258 
Vacuum  extraction  of  cataract,  ii.  174 
Vagina,  iii.  324 
absence  of,  iii.  357 
and  uterus,  double,  iii.  357 
atresia  of,  iii.  357 
cancer  of,  iii.  356 

radium  in,  iii.  711 
chorio-epithelioma  of,  iii.  356 
double,  iii.  357 
foreign  bodies  in,  iii.  357 
fornix  of,  iii.  325 
hematoma  of,  iii.  333 
malformations  of,  iii.  357 
new,  formation  of,  iii.  357 

by  intestinal  transplantation,  iii.  359 
polyps  of,  iii.  356 

preparation  of,  for  operation,  i.  180 
traumatisms  of,  iii.  333 
tumors  of,  iii.  356 
vestibular  bulbs,  iii.  324 
wounds  of,  iii.  333 
Vaginal  cystotomy  for  stone  in  bladder,  iii. 

203 
hysterectomy,  iii.  411 

by  morcellement,  iii.  414 

combined  with  vaginal,  iii.  422 

with  clamps,  iii.  414 
hysterotomy,  iii.  401 
operations  without  anesthesia,  iii.  439 
proctotomy  for  rectal  cancer,  iii.  75 
retractors,  iii.  398 
specula,  iii.  398 
wall,  abscess  of,  in  vaginitis,  iii.  355 

tears  of,  iii.  334 
Vaginismus,  iii.  329 
Vaginitis,  iii.  355 
abscess  of  vaginal  wall  in,  iii.  355 
acute  simple,  iii.  355 
chronic  simple,  iii.  355 
gonorrheal,  iii.  284 

sterilized  yeast  in.  iii.  284 
granular,  iii.  356 


Vaginitis,  senile,  iii.  356 
Valgocavus,  iii.  482 
Valgus,  paralytic,  iii.  484 
Valvular  obstruction  of  renal  pelvis,  opera- 
tion for,  iii.  171 
Vanghetti's  method  of  cineplastic  amputa- 
tion, iii.  527 
Vapor     method     of    ether    anesthesia, 

109 
Varicocele,  iii.  316 

Del  Valle's  operation  for,  iii.  318 
operation  for,  iii.  317 
pelvic,  iii.  426 
Varicose  lymphatics,  i.  464 
ulcers,  i.  310 

albuminuria  in,  i.  312 
amputation  in,  i.  312 
artificial  scab  treatment,  i.  310 
heliotherapy  in,  i.  312 
Martin's  treatment,  i.  311 
Skillern's  treatment,  i.  311 
treatment,  i.  311 
zinc-gelatin  dressings  in,  i.  310 
veins,  i.  448 

circumcision  of  leg  in,  i.  452 
eczema  with,  i.  448 
elevation  treatment,  i.  448 
excision  of,  i.  450 
by  inversion,  i.  452 
segmentary  subcutaneous,  i.  452 
extending  above  knee,  i.  448 
injection  treatment,  i.  453 
ligation,  multiple,  i.  452 
of  femoral  artery  for,  i.  453 
of  internal  saphenous  vein,  i.  449 
of  broad  ligaments,  iii.  426 
of  legs,  i.  448 
of  vulva,  iii.  329 
operative  treatment,  i.  449 
subcutaneous  enucleation  of,  i.  452 
Trendelenburg's  operation  in,  i.  499 
Variot's  method  of  removing  tattoo  marks, 

i.  849 
Vas  deferens,  iii.  301 

anastomosis  of,  to  epididymis    of 

opposite  side  for  sterility,  iii.  312 
removal  of  section  of,  iii.  320 
wounds  of,  iii.  304 
Vasa  efferentia,  iii.  301 
Vascular  goiter,  operation  on,  ii.  38S 
keratitis,  ii.  127 
nevus,  radium  in,  iii.  714 
Vasectomy,  partial,  iii.  320 
Vaselin,  i.  58 
Vasoconstriction,  local,  in  nasal  operations, 

ii.  183 
Vasopuncture   for  seminal  vesiculitis,    iii. 

277 
Vasostomy  for  seminal  vesiculitis,  iii.  277 
Vasotomy  for  seminal  vesiculitis,  iii.  276 
Vater,  diverticulum  of,  iii.  106 
Vault  and  base  of  skull,  fractures  of,  i.  537 
of   skull,    simple   linear   fractures,    with 
symptoms  of  brain  compres- 
sion, i.  S32 
without     symptoms     of     brain 
compression,  i.  532 


Veins 


113 


Vulva 


Veins,  i.  446 

transplantation  of,  iii.  648 

transplanted,  for  tendon  reconstruction, 
i.  803 

traumatism  of,  i.  446 

varicose,  i.  448.     See  also  Varicose  veins. 

wounds  of,  i.  446 
Vein-to-vein  blood  transfusion,  i.  348 
Velpeau's  bandage  of  shoulder  and  arm,  iii. 

"5  .      ,      .  , 

Vena  cava,  anastomosis  of,  with  mesenteric 

vein,  in  ascites,  ii.  563 
with  portal  vein  in  ascites,  ii.  561 
portal  vein  and,  anastomosis  between, 
i.  458 
Venereal  ulcer,  non-syphilitic,  iii.  251 
Venesection,  i.  453 

for  compression  of  brain,  ii.  54 
Venous    infusion    in    local    anesthesia,    i. 
132 
puncture,  i.  453 
sinuses,  infections  of,  ii.  318 
thrombosis  of,  ii.  318 
Ventilation  of  hospitals,  proper,  i.  21 
Ventral     decubitus    for    amputation,     iii. 
500 
hernia,  iii.  46 

after    operation    in    appendicitis,    iii. 

102 
operations  on,  local  anesthesia  in,   i. 

Ventricle,  lateral,  of  brain,  ii.  48 

right,  paracentesis  of,  ii.  425 
Ventrosuspension  of  uterus  for  retroversion, 

iii-  393 
Verhoeff's  method  of  tattooing  cornea,  ii. 

'5  = 
Vermiform  appendix.     See  Appendix. 
Vernal  conjunctivitis,        123 
Verruca,  i.  841 

plana,  i.  842 
Vertebras,  dislocations  of,  i.  620.     See  also 
Dislocations  of  vertebra;. 

fractures  of,  i.  537 

immobilization  in,  i.  538 
with  compression,  i.  538 

operations  on  bodies  of,  in  Pott's  disease, 
ii..  337 

sprains  of,  i.  651 

subluxations  of,  i.  623 

tumors  of,  ii.  338 
Vertebral  artery,  ligation  of,  i.  410 
Vertical  postmuscular  abdominal  section, 

ii.  512 
Vertigo  acoustic,  operation  on   seventh 

nerve  in,  ii.  112 
Verumontanum,  iii.  249 

inflammation  of,  iii.  272 
Vesical  calculus,  iii.  197.     See  also   Stone 
in  bladder. 

fistula,  iii.  2og 

hematuria,  iii.  209 
Vesicles,  seminal,  iii.  227,   275,  301.     See 

also  Seminal  vesicles. 
Vesico-intestinal  fistula,  iii.  209 
Vesico-uterine  fistula,  iii.  352 

ligaments,  iii.  325 


Vesicovaginal  drainage,  iii.  221 
fistula,  iii.  346 

after-treatment,  iii.  351 

colpocleisis  for,  iii.  352 

denudation  operation,  iii.  346 

flap-splitting  operation  in,  iii.  347 

high,  iii.  351 

incurable,  iii.  352 

large,  iii.  351 

Mayo's  operation  for,  iii.  34S 

rectal  drainage  of  bladder  in,  iii.  352 

small,  iii.  351 
Vesiculitis,  seminal,  vasopuncture  for,  iii. 

vasostomy  for,  iii.  277 
vasotomy  for,  iii.  276 
Vesiculotomy     combined     with      external 
urethrotomy,  iii.  278 

with  drainage  of  seminal  vesicles,  iii.  278 
Vessels,  i.  81,  84 

Vestibular  bulbs  of  vagina,  iii.  324 
Vibration  in  chronic  inflammation,  i.  249 
Vibratory  massage,  iii.  715 

in  neuralgia,  i.  864 
Vienna  anesthetic  mixture,  i.  119 

paste  as  caustic,  i.  74 
Vincent's    glass    tube    for    indirect   blood 

transfusion,  i.  354 
Violin  hold  of  operating  scalpel,  i.  184 
Visceral  injuries,  ii.  535 
Visual  sensory  center  of  brain,  ii.  45 
Vitreous,  diseases  of,  ii.  134 

fluidity  of,  ii.  134 

foreign  bodies  in,  ii.  134 

hemorrhage  into,  ii.  134 

opacities  in,  ii.  134 

pus  in,  ii.  134 
Vogel's    method    of   preventing  ;adhesions 

in  abdominal  operations,  ii.  522 
Voice,  training  of,  after  cleft-palate  opera- 
tion, ii.  266 
Volkmann's  sliding  splint,  i.  491 
Volumetric  analysis  of  Dakin's  fluid,  i.  61 
Volvulus,  ii.  608 

of  stomach,  ii.  715 
Vomiting   after  abdominal   operations,     ii. 

S3I  

after  operation  in  appendicitis,  m.   loi 

postoperative,  i.  226;  ii.  615 
von  Hacker's  method  in  stricture  of  esopha- 
gus, ii.  436 
von  Leube's  treatment  of  ulcer  of  stomach, 

ii.  721 
Vosburg's  dressing  for  skin-grafting,  iii.  640 
Vulva,  abscess  of,  iii.  327 

angioma  of,  iii.  328 

cancer  of,  iii.  328 

cysts  of,  iii.  328 

eczema  of,  i.  832 

elephantiasis  of,  iii.  329 

excision  of,  iii.  329 

fibroma  of,  iii.  328 

fissure  of,  iii.  329 

hematoma  of,  iii.  327 

hydrocele  of,  iii.  328 

inflammations  of,  iii.  327 

kraurosis  of,  iii.  329 


Vulva 


314 


Wounds 


Vulva,  lipoma  of,  iii.  328 

papilloma  of,  iii.  327 

posterior  commissure  of,  iii.  333 

sarcoma  of,  iii.  328 

syphilis  of,  iii.  327 

tuberculosis  of,  iii.  327 

tumors  of,  iii.  327 

varicose  veins  of,  iii.  329 

wounds  of,  iii.  327 
Vulvitis,  follicular,  iii.  327 

gonorrheal,  iii.  2S4 

simple,  iii.  327 
Vulvovaginitis,  gonorrheal,  in  children,  iii. 

in  children,  iii.  355 

Walbaum's     operation     for     prolapse     of 

uterus,  iii.  379 
Walker's    circular    occlusion     method    of 

intestinal  anastomosis,  ii.  660 
Wallace's  method  of  forming  new  vagina, 
iii.  360 
of  trachelorrhaphy,  iii.  364-366 
Walton  method  of  reconstructing  common 

duct,  iii.  13s 
Wandering  kidney,  iii.  154 
nephropexy  for,   iii.  154 
spleen,  ii.  786 
Warbasse's  cone  vaporizer  for  ether  anes- 
thesia, i.  Ill 
method  for  dressing  fractures  of  clavicle, 
i-  SS3 
of  continuous  divulsion  in  fractures,  i. 

496,  497 
of  forming  motile  amputation  stump, 

iii..  534 
of  rhinoplasty  with  gutta-percha  bridge, 
iii.     677 
operation  for  hydrocele,  iii.  312 
for  inguinal  hernia,  iii.  24 
after-treatment,  iii.  32 
closure  of  canal  and  ring,  iii.  26 
of  inguinal  canal,  iii.  31 
of  superficial  parts,  iii.  29 
exposure  of  canal,  iii.  25 
isolation  and  closure  of  sac,  iii.  30 
overlapping  aponeurosis,  iii.  29 
shortening  and  closure  of  aponeu- 
rosis, iii.  31 
sparing  nerves  in,  iii.  32 
suture  material^  for,  iii.  32 
treatment  of  sac,  iii.  25 
technic  for  rhinoplasty  with  transplanta- 
tion of  little  finger,  iii.  674 
Warts,  i.'  324 
of  penis,  iii.  253 
radium  in,  iii.  713 
Wasps,  stings  of,  i.  276 
Wassermann  test  in  syphilis,  i.  299 
Water  as  local  anesthetic,  i.  139 
bed  for  bed-sores,  i.  313 
boiling,  sterilization  by,  i.  31 
cushions,  i.  23 
sterile,  i.  57 

preparation  of,  i.  32 
sterilizer,  i.  30 
test  of  kidney  function,  iii.   144 


Water-glass  bandages,  i.  56 

Wax,  chloramin  for  superficial  wounds,  iii. 

807 
Waxed  paper  protective,  i.  54 
Weak-foot,  iii.  484 
Weaving  bandage,  iii.  742 
Webbed  fingers,  iii.  456 

penis,  iii.  255 
Wedge-eyed  needles,  i.  79 
Wedge-isolation   operation   of    Herbert   in 

glaucoma,  ii.  161 
Weight  and  pulley  traction  in  fractures,  i. 

487 
Wen,  i.  84s 

of  scalp,  ii.  24 
Werner's  operation  for  rectal  stricture,  iii.  65 
Wet  applications  in  inflammations,  i.  234 
White's    operation    for    cystocele,    iii.  345 
Whitehead's  operation  for  hemorrhoids,  iii. 

72 
Whitman's  operation  for  paralytic  calca- 
neus, iii.  4S4 
Whitney's  catgut  treatment  of  hydrocele, 

iii.  316 
Wick  drains,  i.  47 
Wicking,  iodoform,  i.  40 
Winslow's  foramen,  hernia  through,  iii.  51 
Wire  coverings  for  protection  of  wounds,  i. 
210 

frame   suspension   splints,    i.  487 

sutures,  i.  38 

traction  from  skin  in  fractures,   i.  493 
Wiring  in  aneurism,  i.  382 

in   fractures,    i.  503 
of  lower  jaw,  i.  545 
Wirsung's  duct,   iii.  106 
Witzel's  method  of  gastrostomy  by  canali- 
zation of  stomach  wall,  ii.  736 
Woelfler's  solution,  i.  73 
Women,  appendicitis  in,  iii.  102 

genital  tuberculosis  in,  iii.  439 

gonorrhea  in,  iii.  283 

stone  in  bladder  in,  iii.  203 

ureteral  catheterization  in,  iii.  188 
Wood-fiber  dressings,  i.  42 
Wood-wadding  dressings,  i.  42 
Wood-wool  dressings,  i.  42 
Woody  phlegmon,  ii.  362 
Wounds,  i.  166;  iii.  733 

accidental,  i.  166 
treatment,  i.  186 

adhesive  straps  for,  i.  187 

bullet,  i.  222 

clean,  no-dressing  treatment,  i.  210 

closure  of,  i.  187,  188;  iii.  809.     See  also 
SiUures. 

complications,  i.  211 

contractions  of,  i.  225 

distortions  of,  i.  225 

and  contractions  following,  iii.  693 

drainage  of,  i.  204 

dressings  of,  i.  205 

Delbet's  paste  for,  iii.  807 
subsequent,    i.  211 

fever  from,  i.  213 

foreign  bodies  in,  rt-ray  for  removal,  i. 
223 


Wounds 


115 


Wounds 


Wounds  from  explosive  bullets,  i.   222 
gaping,  i.  212 

genenil  considerations,  i.  166 
granulating,  i.  220 
gunshot,  i.  222 
healing,  iii.  734 
hemorrhage  in,  i.  212 
incised,  i.   219 
infected,  i.  27,    28,  211,  237.     See   also 

Infected  wounds. 
keloid  of,  :>;-rays  in,  iii.  705 
lacerated,  i.  2ig 
later  results,  i.  225 

metallic   bodies   in,    microphone  for  re- 
moval, i.  224 
Michel  clamp  for,  i.  187,  189 
of  abdominal  wall,  ii.  535 
of  air-passages  with  cut-throat,  ii.  360 
of  arteries,  i.  371 
of  auricle,  ii.  303 
of  axilla,  iii.  452 
of  bile-ducts,  iii.  114 
of  bladder,  iii.  190 

of  blood-vessels,  cut-throat  with,  ii.  360 
of  brain,  ii.  61 

bullet,  ii.  62 

stab,  ii.  62 
of  breast,  ii.  472 
of  bursa;,  i.  819 
of  carotid  artery,  ii.  360 
of  chest  wall,  non-penetrating,  ii.  397 

penetrating,  ii.  397 
of  choroid,  ii.  130 
of  ciliary  body,  ii.  130 
of  conjunctiva,  ii.  121,  124 
of  cornea,  ii.  121,  128 
of  diaphragm,  ii.  398,  536 
of  dura  mater,  ii.  61 
of  esophagus,  ii.  360,  431 
of  external  auditory  canal,  ii.  304 
of  eyeball,  ii.  121 
of  eyelids,  ii.  121 
of  face,  ii.  115 

masks  for,  iii.  686 
of  Fallopian  tubes,  iii.  430 
of  forearm,  iii.  452 
of  gall-bladder,  iii.  114 
of  heart,  ii.  428 

penetrating,  ii.  429 
of  intercostal  artery,  ii.  398 
of  internal  jugular  vein,  ii.  360 

mammary  artery,  ii.  398 
of    intestines,        non-perforating,     with 
wounds  of  mesentery,  ii.  568 

perforating,  ii.  567 

suturing  of,  ii.  635 
of  intracranial  structures,  ii.  61 
of  iris,  ii.  129 
of  joints,  i.  654 

aseptic,  i.  654 

bullet,  i.  656 

gunshot,  i.  656 

incised  infected,  i.  655 

lacerated  infected,  i.  655, 

punctured,  i.  654 

with  compound  fractures,  i.  657 
of  kidney,  iii.  146 


Wounods  f  larynx,  ii.  220 
of  lips,  ii.  246 
of  liver,  iii.  107 
of  lung,  suturing  of,  ii.  414 

with  penetration  of  chest  wall,  ii.  413 

with  pleural  infection,  ii.  414 
of  lymphatic  vessels,  i.  460 
of  meninges,  ii.  61 
of  mesentery,  ii.  568 

non-perforating    wounds    of    intestine 
with,  ii.  568 
of  muscles,  i.  791 
of  nerves,  i.  852 

of  neck,  ii.  360 
of  newborn,  iii.  697 
of  nose,  ii.  183 
of  optic  nerve,  ii.  135 
of  pancreas,  ii.  779 
of  pelvis,  iii.  459 
of  penis,  iii.  250 
of  pericardium,  ii.  422 
of  pia-arachnoid,  ii.  61 
of  pleura,  ii.  399 
of  receptaculum  chyH,  i.  460 
of  rectum,  iii.  60 
of  scalp,  accidental,  ii.  18 

control  of  hemorrhage  in,  ii.  i8 

infection  in,  ii.  iS 

operative,  ii.  19,  20 

suture  of,  ii.  19 
of  sclera,  ii.  129 
of  scrotum,  iii.  301 
of  skin,  i.  820 
of  spermatic  cord,  iii.  304 
of  sphincter  ani,  iii.  60 
of  spine,  bullet,  ii.  325 

stab,  ii.  32s 
of  spleen,  ii.  784 
of  stomach,  ii.  702 
of  tendons,  i.  796 

old,  i.  816 
of  testicles,  iii.  303 
of  thoracic  duct,  i.  460;  ii.  361 
of  tongue,  ii.  287 

gunshot,  ii.  2S8 
of  trachea,  ii.  220 
of  tympanic  membrane,  ii.  301  , 
of  urethra,  iii.  271 
of  uterus,  iii.  360 
of  vagina,  iii.  333 
of  vas  deferens,  iii.  304 
of  vulva,  iii.  327 

open,  rubber  protective  for,  i.  209 
operative,  i.  166 

method  of  making,  i.  184 
punctured,  i.  219 

septicemia  from  vaccines  m,  i.   257 
shell,  i.  222 
shrapnel,  i.  222 
sloughing,  i.  221 
small,  treatment,  i.  1S7 
soiled,  treatment,  i.  186 

with  earth,  i.  221 
stab,  i.  219 

superficial,  chloramin  wax  for,  iii.  80s 
suppurating,  bitartrate  of  potassium  for 


Wounds 


116 


Zygoma 


Wounds,    suppurating,   hot-air   treatment, 
i.  187 
wire  covering  for  protection  of,  i    210 
with  foreign  bodies,  i.  222 
with  loss  of  substance,  i.  220 
Wright's  solution,  i.  58 
Wrist,  amputations  at,  lii.  554 

ankylosis  of  arthroplasty  for,  i.  764 
dislocations  of,  i.  638.     See  also  Disloca- 
tions of  wrist. 
excision  of,  i.  746.     See  also  Excision  of 

wrist. 
sprains  of,  i.  652 

subluxations  of.  spontaneous,  i.  638 
tuberculosis  of,  i.  680 
Wrist-drop,  i.  896;  iii.  452 

arthrodesis  in,  i.  739 
Wrist-joint,  arthritis  of,  iii.  450 
disarticulation  at,  iii.  _SS4 
with  double  flaps,  iii.  555 
with  lateral  flap,  iii.  555 
with  palmar  flap,  iii.  554 
diseases  of,  iii.  451 
Writers'  cramp,  iii.  455 
Writing,  brain  center  of,  ii.  44 
Wyeth's  method  of  controlling  hemorrhage 
in  disarticulation  of  hip-joint, 
iii.  602 
of  shoulder-joint,  iii.  564 

Xanthelasma,  ii.  120 
Xanthoma,  i.  843 
Xerotic  keratitis,  ii.  127 
X-rays,  burns  from,  iii.   703,  720 

dermatitis  from,  iii.  720 

dosage,  iii.  704 

effect   on   epiphyseal   growth   of   bones, 
iii.  705  ^ 

for  deep  disease,  iii.  704 

for  osteosarcoma,  iii.  704 

for  removal  of  foreign  bodies  in  wounds, 

ia  acne  indurata,  iii.  704 

vulgaris,  lii.  704 
in  carcinoma  of  deeper  parts,  iii.  705 
in  eczema,  iii.  704 
in  epithelioma  of  skin,  iii.  705 
in  erythema  induratum,  iii.  704,  705 
in  hyperthyroidism,  ii.  390 


X-rays  in  indolent  ulcers,  iii.  706 
in  inoperable  cancer,  i.  332 
in  keloid  of  acne,  iii.  705 

of  wounds,  iii.  705 
in  lupus  erythematosus,  iii.  704 

vulgaris,  iii.  704 
in  mycosis  fungoides,  iii.  705 
in  prurigo,  iii.  704 
in  pseudoleukemia,  i.  465;  iii.  705 
in  psoriasis,  iii.  705 
in  recurrent  cancer,  iii.  705 
in  rhinoscleroma,  iii.  705 
in  sarcoma  cutis,  iii.  705 

of  deeper  parts,  iii.  705 
in  skin  tuberculosis,  iii.  705 
in  splenic  leukemia,  iii.  705 
in  tinea  tonsurans,  iii.  704 
in  tuberculosis,  iii.  705 
keratosis  from,  radium  in,  iii.  714 
protecting  operator  in  use  of,  iii.  704 
therapeutic  uses,  iii.  703 
ulceration  from,  iii.  720 

Yaws,  i.  303 

salvarsan  in,  i.  303 
Yeast,   sterilized,   in  gonorrheal  vaginitis, 

iii.  284 
Young's  method  of  shortening  uterosacral 
ligaments     for     retroversion,     iii.  394 
punch  operation  for  prostatic  bars,  iii. 
245 

Zeegler's  V-shaped  iridotomy,  ii.  156 
Zinc  chlorid  as  antiseptic,  i.  71 
paste,   i.  74 
oxid  as  antiseptic,  i.  71 

gauze,  i.  41 
stearate  as  antiseptic,  i.  71 
sulphate  as  antiseptic,  i.  71 
sulphocarbolate  as  antiseptic,  i.   71 
Zinc-gelatin  dressings  in  varicose  ulcers,  i. 

Zonular  cataract,  ii.  133 
Zoodermic  skin  grafts,  iii.  642 
Zuppinger's  lever  tractoin  frame,  i.  494 
Zygoma,  fractures    of,  i.  540 

resection  of,    for  exposure    of  temporo- 
maxillary  joint,  1.  740 


COMPLETE  INDEX  OF  NAMES  TO 
VOLUMES  I,  II,  III 


Abadie 

Abadie,  ii.  i6i 

Abb6,  ii.  io8,  344,  438 

Abbott,  ii.  354 

Abel,  iii.  817 

Abrashanoff,  i.  308 

Ach,  ii.  758 

Achard,  ii.  402 

.Adams,  i.  712,  714;  ii.  145 

Adolph,  ii.  565 

Adson,  iii.  819 

Albee,  i.  507,  510,  511,  512,  513,  514,  516, 
517,  739,  774,  775,  776,  777,  778,  779, 
784,  785,  786,  787;  ii.  350;  iii.  479,  480,  809 

Alexander,  iii.  390,  391 

Alexinsky,  i.  893 

AUen,  i.  80,  129,  131,  141,  144,  147,  149; 
iii.  394 

Allis,  i.  106,  107,  634 

Allport,  ii.  153 

Alvarez,  iii.  808 

Andrews,  i.  120,  339;  ii.  676;  iii.  314 

Andrews  and  McArthur,  iii.  69 

Anel,  i.  383 

Annandale,  i.  716,  724 

Antyllus,  i.  382 

Ashurst,  iii.  530 

Audree,  i.  769 

Audry,  ii.  693 

Babcock,  iii.  607 

Babler,  ii.  558 

Baccelli,  i.  268 

Bailey,  iii.  794 

Baldwin,  iii.  359 

Balfour,  ii.  595,  724 

Ballance,  ii.  68 

Ballance  and  Stewart,  i.  857 

Banti,  ii.  785 

Bardenheuer,  i.  498;  iii.  659 

Barney,  iii.  296 

Barraquer,  ii.  174 

Barrett  and  Mayo,  iii.  391 

Bartlett,  i.  36,  615;  iii.  168,  316 

Bassini,  iii.  32,  35 

Bayer,  iii.  679 

Bayliss,  i.  348 

Beal,  iii.  224 

Beck,  i.  306;  ii.  413;  iii.  262,  263,  264,  267, 

268 
Beebe,  ii.  390,  394 
Beer,  ii.  126,  341,  562 
Belfield,  iii.  276 
Bellocq,  ii.  185 
Bennet,  ii.  344,  711,  712 


Burkardt 

Benoist,  iii.  704 

Berkowitz  and  Sefif,  iii.  442 

Bernheim,  i.  353,  354,  355 

Bernheim  and  Voegtlin,  i.  458 

Bevan,  i.  273;  iii.  120,  121,  268,  269,  308, 

310 
Bickham,  i.  395,  404,  406,  407,  408,  416, 

421,433,  438,  443;  ii.  656;  iii.  609,610 
Bier,  i.  134,  229,  230,  233,  264,  280,  282, 

309,  528,  664,  686,  699,  817;  iii.  442,  526, 

59° 
Biesalski  and  Mayer,  i.  812 
Bigelow,  i.  640,  643,  645;  iii.  199,  201 
Bigelow  and  Smith,  i.  641 
Billroth,  i.  119,  716;  ii.  750 
Binnie,  iii.  526 
Bircher  and  Weir,  ii.  714 
Blach,  i.  458 
Blad,  ii.  558,  560 
Blair  and  McGuigan,  i.  447 
Blasius,  i.  623 
Bloodgood,  iii.  37 
Blumberg,  iii.  429 
Boas,  iii.  74 
Bode,  ii.  528 

Boeckel,  i.  718,  719,  723,  724,  746 
Bogojawlensky,  ii.  88 
Bonnet  and  Meckel,  i.  148 
Bonninghaus,  ii.  197 
Bookman,  i.  201,  202 
Bottini,  iii.  232 
Bougard,  i.  331 
Bovy,  iii.  814 
Brabant,  i.  703 

Bradford,  i.  583,  615,  666;  ii.  328 
Bramson,  i.  250 
Brasdor,  i.  383 
Brauer,  ii.  418,  424,  451 
Brault,  i.  849 
Braun,  i.  146,  148,  149 
Brewer,  ii.  415 
Brinsmade,  ii.  521,  694 
Brooks  and  Green,  iii.  196 
Brophy,  ii.  265 
Brown,  ii.  574 

Brown  and  Kimpton,  iii.  817 
Bryant,  ii.  462 
Buck  and  Gross,  i.  48S 
Bulkley,  i.  841 
Bull  and  Pritchett,  iii.  S73 
Bum,  i.  S79 
Bunge,  iii.  510 
Bunting  and  Yates,  i.  465 
Burkardt,  i.   115 


Busch 


118 


Ferguson 


Busch,  iii.  687 

Butlin,  ii.  296 

Byrne,  i.  331;  iii.  422,  423 

Byrnes,  i.  29s 

Calmette,  i.  275 

Calot,  ii.  332 

Campailla,  i.  289 

Campbell,  i.  530 

Cannon,  i.  217 

Cantas,  iii.  267 

Cargile,  ii.  522 

Carnes,  iii.  607,  608,  609,  610 

Carr,  ii.  19 

Carrel,  i.  247,  375;  ii.  562 

Carrel  and  Dakin,  i.  242 

Carrel  and  Guthrie,  i.  446 

Carter,  ii.  180;  iii.  682 

Casper,  iii.  184 

Castellani,  i.  464 

Cathelin,  iii.  208 

Ceci,  iii.  527,  530 

Chantemesse,  i.  459 

Chaput,  i.  493 

Charcot,  i.  681 

Charpy,  ii.  431 

Chassing,  iii.  728 

Chiari,  ii.  90 

Chiene,  i.  716 

Chipault,  ii.  33,  48 

Chismore,  iii.  199 

Chopart,  iii.  580 

Christiani,  ii.  394 

Clark,  i.  892;  ii.  533,  547 

Clubbe,  ii.  607 

Codivilla,  i.  486,  495,  iii.  468 

Coflfey,  ii.  541,  675,  685,   712;  iii.  Si,  179, 

Coley,  i.  332;  iii.  45 

Colles,  i.  575 

Colton,  ii.  408 

Connell,  ii.  636,  637,  651,  654,  769;  iii.  805 

Conrad,  i.  174 

Cooper,  i.  631 

Corrigan,  i.  370 

Cotton,  i.  621,  iii.  807 

Couteaud,  i.  550 

CrQe,  i.  176,  177,  213,  214,  215,  216,  217, 

348,  349.  352;  ii-   52,  231,  235,  391,  392, 

393,  547 
Crisler,  ii.  550 
Crooks,  iii.  703 
Cryer,  ii.  29 

Cunningham,  i.  122;  iii.  782 
Cushing,  i.  890;  ii.  19,25,37,38,77,82,88, 

92,  98,  106,  108,  no,  631,  634,  635,  636, 

649,  654,  655,  656,  660,  662,  674 
Czerny,  ii.  634,  635 

DaCosta,  ii.  103,  iii.  718,  719 
Dahlgren,     ii.  29;     iii.  81 
Dakin,  i.  60,  63,  73,  242,  247 
Dakin  and  Carrel,  i.  242 
D'Arsonval,  iii.  699,  703 
Daufresne,  i.  61 
Davis,  ii.  146;  iii.  458,  665 
Davison,  i.  512,  517 


Dawbarn,  iii.  223 

Deaver,  ii.  578,  S79,  727 

deForest,  i.  623;  ii.  247 

DeFrancesco,  iii.  529 

Deguise,  ii.  377 

Dejerine,  ii.  323 

De  Keating-Hart,  iii.  699,  706 

Delatour,  ii.  695 

Delbet,  i.  117,  390 

Del  Valle,  iii.  318 

Dench,  ii.  321 

Denker,  i.  724 

Desault,  i.  383;  iii.  755,  756,  757 

Deschamps,  i.  383 

deSchweinitz,  ii.  130,  159 

Desmarest,  ii.  348 

Desmarres,  ii.  150 

Deutschmann,  ii.  135 

DeWecker,  ii.  152 

Dickinson,  ii.  .515;  iii.  421 

Didot,  iii.  456 

Dieffenbach,  i.  718,  722;   ii.  146 

Doane,  i.  789 

Doberauer,  i.  455 

Dobson,  ii.  589 

Dodd,  i.  220 

DoUinger,  ii.  no 

Dorrance,  i.  374;  iii.  442 

Dowd,  ii.  574;  iii.  47 

Doyen,  i.  691;  ii.  27,  29,  30,  32 

Dreuw,  i.  834 

DuBose,  iii.  43 

Dudley,  iii.  353 

Duncan,  i.  169 

Dunham,  i.  63 

Dunham,  Horsley  and  Esser,  iii.  660 

Dupuytren,  i.  606;  iii.  454 

"Eastman,  i.  200 

Eck,  i.  458;  ii.  561 

Edebohls,  iii.  170 

Ehrenfried,  iii.  471 

Ehrlich,  i.  284,  291,  294,  302 

Eisenstaedt,    Lespinasse     and      Fisher,     i. 

377 
Elbrecht,  iii.  57 
Elgart,  iii.  608 
Elliot,  ii.  162 

Elliott  and  Kanavel,  ii.  785 
EUis  and  Swift,  i.  295 
Elsberg,  i.     536,  705;  ii.  87,  341,  342,  343, 

448 
Emrich,  ii.  570 
Erhardt,  i.  161 
Esmarch,  i.  56,   107,   229,   367,   679,    726, 

751,  834;  iii-  446 
Esser,  iii.  665 

Esser,  Dunham  and  Horsley,  iii.  660 
Estlander,  ii.  410 
Ewald,  ii.  369 


Farabeuf,  i.  735;  iii. 
Fee,  iii.  223 
Fehleisen,  i.  332 
Fenger,  ii.  267 
Fergus,  ii.  142 
Ferguson,  ii.  269 


582,  587,  589 


Fergusson 


119 


Hunter 


Fergusson,  i.  718 
retterolf,  ii.  i8g 
Finney,  ii.  578,  725,  740,  741,  742,  743,  744, 

.745,  750 
Finochietto,  ii.  673;  iii.  500 
Finsen,  i.  280,  837;  iii.  707 
Fisclier,  iii.  806,  812 

Fischer,  Eisenstaedt  and  Lespinasse,  i.  377 
Fisher,  ii.  529;  iii.  722 
Flexner,  ii.  67 
Fliess,  iii.  394 
Florio,  ii.  556 
Foerster,  ii.  344 

Foote  and  Weir,  ii.  706,  710  j 

Fowler,  ii.  410,  528 
Fox,  i.  253 
Fraenkel,  i.  664 
Franck.  ii.  734 

Franke,  ii.  347,  560  I 

Frazer,  ii.  51,  348 
Frazier,  ii.  37,  77,  87,  106,  107,  109,  in; 

iii.  819 
Freeman,  i.  s°7>   "•  3S8;   iii.  647 
French,  ii.  209 
Freudenberg,  iii.  232 
Freund,  ii.  419 
Frick,  iii.  S19 
Friedlander,  ii.  188,  418,  419,  445,  453,  459,  I 

460  __  I 

Friedman,  ii.  20,  22 
Froehlich,  ii.  153 
Fulda,  i.  706;  iii.  44,  534 

Gaenslen,  ii.  344 

Gallant,  iii.  155 

GaUet,  ii.  671 

Gant,  i.  714;  ii.  693 

Gatch,  i.  121,  122,  123 

Gaudiani,  iii.  539 

Gauss,  i.  366;  iii.  711  [ 

Gellhorn,  iii.  423.  424 

Gelyi,  i.  365 

Gergo,  i.  234 

Gersuny,  ii.  692;  iii.  80 

Gettler  and  Lindeman,  i.   177 

Gibson,  ii.  147,  573,  665 

Gifford,  i.  476,  593,  594 

Gigli,  ii.  29,  32;  iii.  78 

Gilbert,  ii.  402 

Gilliam,  iii.  391 

Gliick,  ii.  224,  231,  233,  234,  236 

Goffe,  iii.  379 

Goldmann,  i.  709 

Goldthwait,  i.  582 

Gottheil,  i.  288 

Gottstein,  ii.  187,  211,  437 

Gould,  ii.  389,  633,  634,  654,  666,  668,  669, 

678,  714,  736,  751 
Graham,  iii.  58 
Gray,  i.  405,  ii.  117,  397,  431 
Green,  ii.  243 
Green  and  Brooks,  iii.  196 
Gross  and  Buck,  i.  488 
Guerche,  i.  269 
Gufirin,  i.  719,  722 
Guil  ard,  i.  99 
Guthrie,  ii.  562;  iii.  88 


Guthrie  and  Carrel,  i.  446 

Guyon,  iii.  211,  587 

Gwathmey,  i.  loo,   102,  no,  122;  iii.  807 

Gwathmey  and  Karsner,  iii.  807 

Hackenbruch,  i.  497 

Haecker,  ii.  429 

Hagner,  iii.  312 

Hahn,  ii.  730 

Hallion  and  Tuffier,  i.  390 

Halsted,  i.  384,  392,  ii.  633,  634,  639;  iii. 

Hammond  and  Sharpe,  i.  296 

Hancock,  ii.  161 

Handley,  i.  462,  463 

Hare,  i.  382 

Harrington,  i.  59 

Harris  (Burton),  iii.  152 

Harris  (M.  L.),  iii.  379 

Harris  (P.  A.),  iii.  379 

Harris  (S.),  ii.  721 

Harrison,  i.  47;  iii.  170 

Hartley,    ii.  106,    108,    671,    674;    iii.  204 

Hartwetl,  i.  352 

Hassler  and  Honan,  i.  115 

Haynes,  ii.  70,  98 

Heald,  i.  196,  198 

Hecht,  i.  879 

Heine,  ii.  157 

Heineke  and  Mikulicz,  ii.  740 

Heiser,  i.  836 

Heitler,  ii.  426 

Helferich,  i.  760,  762 

Helmholz,  i.  355 

Henderson,  i.  108,  213,  779 

Henle,  ii.  436 

Herbert,  ii.  161 

Herbst,  iii.  314 

Herrick,  iii.  820 

Herschell,  ii.  570 

Hess,  i.  342;  ii.  142 

Heuer,  iii.  819 

Hewitt,  i.  99,  122 

Hey.  iii.  580,  588,  589 

Hibbs,  i.  615,  780,  781,  782 

Hirsch,  iii.  510 

Hirschsprung,  ii.  610 

Hirst  (B.  0,  iii.  408 

Hodenpyl,  i.  333 

Hodge,  iii.  38S 

Hodgen,  i.  585 

Hodgkin,  i.  464 

Hoffa,     i.     613,    684,    685,    783,    S05;    iii. 

474 
Hogan,  i.  347 
Holden,  ii.  232 
Hollander,  iii.  688 
Holt,  ii.  719 

Holzknecht,  i.  223;  iii.  704 
Honan  and  Hassler,  i.  115 
Hooker,  i.  260 

Horsley,  i.  37S;  ii.  77,  108,  no 
Horsley,  Esser  and  Dunham,  iii.  660 
Hort,  ii.  576 
Howard,  iii.  71S 
Hudson,  ii.  28,  29;  iii.  808 
Hunter,  i.  383 


Jaboulay 


120 


Mayer 


Jaboulay,  ii.  392;  iii.  314,  494 

Jack,  iii.  221 

Jackson,  i.  847;  ii.  225,  239,  240,  242,  244, 

422,  490,  602 
Jamieson,  ii.  589 
Jane  way,  ii.  731 
Jennings,  ii.  480 
Jessett,  ii.  607 
Jett,  i.  191 
Jianu,  i.  446;  ii.  465 
Joani,  i.  374 
John,  iii.  753 
Johnston,  iii.  221 
Jones,  iii.  81 
Jonnesco,  i.  161;  ii.  loi 
Judd,  iii.  37,  172 
Judson,  iii.  472 
Junker,  i.  124;  ii.  188 

Kadee,  ii.  733,  734 

Kanavel,  i.  345,  861;  ii.  90,  702;  iii.  445 

Kanavel  and  Elliott,  ii.  785 

Kaposi,  i.  847 

Karsner  and  Gwathmey,  iii.  807 

Katzenstein,  i.  769 

Keen,  i.  379,  392,  397;  ii.  96,  437,  452,  541; 

iii.  80,  142,  606,  608,  609,  610,  611,  700, 

714 
Keetley,  ii.  572 
Kehr,  iii.   135 
Kellogg,  ii.  610,  611,  614 
Kemp,  iii.  57 
Kennedy,  i.  890 
Kenyon,  ii.  38 

Killian,  ii.  202,  225,  239,  240 
Kimpton,  iii.  818 
Kimpton  and  Brown,  iii.  817 
Kingsley,  i.  S44>  546 
Kirstein,  ii.  242 
Klebs,  ii.  207 

Knapp,  ii.  150,  152,  171,  174 
Koch,  i.  257,  258;  ii.  429 
Kocher,  i.  267,  627,  628,  631,  644,  645,  730, 

742,  744,  751,  872,  87s;  ii.  loi,  106,  108, 

109,  297,  393,  394,  424,  SS2,  562,  747;  iii. 

34,  119,  168,  525,  526 
Kolle,  iii.  652,  653,  685,  687 
Kollmann,  iii.  289 
Konig,  iii.  670 
Korner,  ii.  314,  315 
Korotkow  and  Pachon,  i.  390 
Kraft,  ii.  728 
Kraske,  iii.  43 
Kraus,  i.  272 

Krause,  i.  323;  ii.  78,  87,  88,  106, 108;  iii.  649 
Kromayer,  i.  289 
Kroner  and  Oelsner,  i.  161 
Kronig,  i.  332 

Kronlein,  i.  876;  ii.  50,  752,  779 
Krumbhaar,  ii.  785 
Kuettner,  ii.  344 
Kuhnt,  ii.  145 

Kiimmell,  i.  115,  396;  ii.  757 
Kuyk,  ii.  369 

Labarraque,  i.  64 
Lagarde,  iii.  690 


^     11-   157 

Lambotte,  i.  462;  ii.  559 

Lambotte  and  Putti,  i.  506 

Landolt,  ii.  176 

Landon,  i.  349,  352 

Lane,  i.  508;  ii.  261,  444,  602,  613,  614 

Lang,  ii.  156 

Lange,  i.  801 

Langenbeck,  i.  711,  719,  721,  722,  723,  724, 
741,748 

Lanz,  i.  463,  464 

Larralde,  ii.  417 

Lassar  and  Spronk,  i.  332 

Lauenstein,  i.  755 

Law,  iii.  647 

Le  Conte,  i.  247 

Lee,  iii.  814 

Lembert,  ii.  631,  632,  633,  635,  649 

Lemon  and  Mueller,  i.  485 

Lenhartz,  ii.  721 

Lennander,  i.  146 

Lespinasse,  Fischer  and  Eisenstaedt,  i.  377 
j  Lewis,  iii.  194 

Lewisohn,  i.  356;  ii.  243 

Lexer,  i.  768;  ii.  108,  no;  iii.  44,  644,  647 

Libman  and  Ottenberg,  i.  355 
i  Lilienthal,  i.   740;  ii.  420,  421,  662;  iii.  243 

Lindeman,  i.  353 

Lindeman  and  Gettler,  i.  177 

Lisfranc,  iii.  580 

Lister,  i.  746 

Liston,  i.  721 

Locke,  i.  58,  177 

Lockwood,  i.  172 

Loeb,  iii.  423 

Loffler,  ii.  207,  212 

Lorenz,  i.  613,  617;  ii.  327;  iii.  471,  474 

Loreta,  ii.  737 

Lotheissen,  ii.  439 

Lothrop,  ii.  199 

Lovett,  i.  670,  671,  802 

Lowman,  i.  498 

Ludwig,  ii.  362 

Lumbard,  i.  no 


MacDonald,  i.  796 

Macewen,  i.  382,  712,  714,  715,  716;  iii.  468 

Mac  Lennan,  iii.  644 

Malgaigne,  i.  573,  602,  722 

Mancini,  iii.  812 

Manson,  iii.  in 

Marcy,  i.  37 

Marelli,  iii.  608 

Marion,  iii.  23 

Marsden,  i.  331 

Martin,  i.  229,  311,  506;  iii.  311 

Martinache,  ii.  126 

Marton,  iii.  793 

Mason,  Sydenstricker  and  Rivers,  i.  355 

Matas,  i.  270,  384,  389,  390,  391,  393,  395, 

S4S,  547 
Matti,  i.  456 

Maunsell,  ii.  607,  654,  655,  658,  661,  663 
Maydl,  iii.  204 
Mayer,  i.  716;  ii.  326,  698 
Mayer  and  Biesalski,  i.  812 


Mayo 


121 


Priestley 


Mayo  (C.  H.  and  W.  J.),  i.  451,  452;  ii- 
384.  3^5,  386,  579,  642,  644,  68s,  70S, 
724,  741,  75°,  751,  7S2,  753,  754,  755, 
756,  764,  767,  769;  iii.  43,  Si,  133,  166, 
167,  348,  493,  798,  801 

Mayo  and  Barrett,  iii.  391 

McArdle,  ii.  599 

McArthur,  ii.  88;  iii.   117,  819 

McArthur  and  Andrews,  iii.  69 

McBurney,  i.  631,  646;  ii.  510,  572 

McCrae  and  Osier,  i.   257 

McDill,  iii.  109 

McDonald,  i.  70,  178 

McDowell,  iii.  431 

McGraw,  ii.  588,  675,  676 

McGuigan  and  Blair,  i.  447 

McLean,  ii.  675,  676 

McMurrich  and  Sobotta,  iii.  249 

Meader  and  Murray,  iii.  65 

Meckel  and  Bonnet,  i.  148 

Medalia,  i.  S3  2 

Mellish,  i.  467 

Meltzer,  i.  267,  26S;  ii.  446,  447;  iii.  721 

Meltzer  and  Peck,  i.   164 

Menciere,  i.  70,  271;  iii.  812 

Menge,  iii.  376 

Meniere,  ii.  319 

Mercier,  iii.  211 

Metchnikoff,  ii.  613 

Meyer,  i.  232,  233,  457;  ii.  420,  451,  452, 
463,  467,  508,  509.  716,  757,  759;  iii.   197 

Meyer  and  Weidig,  i.  119 

Michel,  i.  1S7 

Mikulicz,    i.  664,    736,    737;    ii.  375,    526 

Mikulicz  and  Heineke,  ii.  740 

Milliken,  i.  263 

Mitchell,  i.  153,  308 

Mixter,  ii.  693 

Momburg,  i.  363,  365;  iii.  460,  687 

Monks,  ii.  621 

Montenovesi,  ii.  29 

Montgomery,  iii.  383 

Morestin,  i.   271 

Moriarty,  i.  546 

Morison,  i.  248;  iii.  810,  8ii 

Morley,  iii.  780 

Morton,  iii.  311,  490 

Moschcowitz  and  Wilensky,  ii.  767 

Mosetig-Moorhof,  i.  705 

Mosher,  iii.  396 

Moskowicz,  i.  390,  391 

Motais,  ii.  142 

Moynihan,  ii.  595,  663,  741,  747;  iii.  50,  51, 
125,  205 

Mueller,  i.  699,  702 

Mueller  and  Lemon,  i.  485 

Mules,  ii.  159 

Miiller,  i.  234 

Munro,  ii.  344,  532 

Murphy,  i.  281,  455,  664,  762,  764;  ii.  418, 
552.  63s,  667,  669,  671,  771,  769;  iii.  S06 

Murray,  iii.  81S 

Murray  and  Meader,  iii.  65 

Napier,  iii.  466 
Nathan,  i.  661 
Nefif,  i.  384 


Nfilaton,  i.  623,  718;  iii.  671,  673,  678 

Newman,  iii.  57 

Nichols,  i.  69s 

Nicoll,  ii.  719 

Noel  and  Souttar,  i.   164 

Nocsske,  iii.  458 

Noguchi,  i.  284 

Nydegger,  i.  555 

OcHSNEE,  ii.  436,  551,  548,  554,  616;  iii.  88, 

89,  90,  91,  102,  115 
O'Dwyer,  ii.  219,  237 
Oelsner  and  Kroner,  i.  161 
Ogilvie,  i.  295 
Ogston.i.  714,  715 
Oliver,  iii.  718 
Oilier,  i.  718,  721,  722,  724,  741,  746,   7485 

755;  i":  677 
Ormsby,  i.  99 
Orth,  ii.  479 

Osier  and  McCrae,  i.  257 
Otis,  iii.  286,  292.  293 
Ottenberg  and  Libman,  i.  355 
Oudin,  iii.  699 

Oulmann  and  Wollheim,  i.  297 
Outerbridge,  iii.  43S 

P.-iCHON  and  Korotkow,  i.  390 

Pagenstecher,  ii.  769 

Paget,  ii.  473 

Panas,  ii.  152 

Panse,  ii.  315 

Par^,  i.  339 

Parham,  i.  506 

Parkhill,  i.  507;  ii.  652 

Pasquin,  i.  383 

Passavant,  i.  823 

Pasteur,  i.  255,  273 

Patrick,  i.  870 

Payr,  i.  378,  838 

Peck  and  Meltzer,  i.  164 

Peel,  ii.  561,  562 

Pellegrini,  iii.  539 

Penhallow,  i.  561 

Percy,  ii.  492,  494;  iii.  423 

Perez,  ii.  188 

Perier,  ii.  234 

Peterson,  ii.  559;  iii.  352 

Pfannenstiel,  iii.  40S , 

Phemister,  iii.  645 

Philagrius,  i.  383 

Phillips,  i.  583 

Phisali.x,  i.  275 

Pilcher,  i.  578'  ii.  22S,  602,  701 

Pilcher  (P.  M.),  iii.  189,    190,     243.,  (244 

701,  702,  721 
PirogoEF,  iii.  572,  578,  585 
Pleth,  ii.  662,  677 
Plummer,  ii.  716 
Poirier,  ii.  431 
Politzer,  ii.  301,  306,  307 
Polya,  ii.  756 
Pope,  ii.  522 
Porter,  i.  266;  ii.  390 
Post,  i.  119 
Pott,  i.  606;  ii.  41 
Priestley,  i.  120 


Pritchett 


122 


Teale 


Pritchett  and  Bull,  iii.  813 

Prout,  i.  892 

Purmann,  i.  3S3 

Putti  and  Lambotte,  i.  506 

Qu^NU,  i.  762 
Quillian,  i.  177 
Quincke,  ii.  68 

Ramsteom,  i.  148 

Ransohoff,  i.  134;  iii.  50 

Ream,  i.   100 

Reder,  i.  192 

Reed,  iii.  169 

Reeves,  i.  716 

Reid,  ii.  49 

Reverdin,  iii.  644 

Rhoads,  iii    no 

Richardson,  ii.  519,  543 

Richter,  ii.  433 

Riggs,  ii.  277 

Ritschl,  iii.  490 

Rivallie,  i.  74 

Rivers,  Sydenstricker  and  Mason,  i.  355 

Riviere,  iii.  699 

Robbins  and  Seabury,  iii.  252 

Roberts,  iii.  58,  820 

Robertson,  iii.  815 

Robinovitch,  iii.  720 

Robinson,  ii.  407,  4ro,  4ri    412,  42r,  449, 

45°,  451 
Robson,  ii.  675,  696,  697 
Robson,  Mayo,  iii.  120 
Rogers,  i.  266;  ii.  219,  220 
RoUier,  i.   280;  iii.  707,  708 
Rontgen,  iii.  703 
Rose,  i.  269 
Rosengarten,  i.  62 
Rosenow,  ii.  577 
Rosenstein,  ii.  561 
Rosenthal,  ii.  615 
Rothschild,  i.  79s 
Rous  and  Turner,  iii.  815 
Routte,  ii.  560 
Roux,  ii.  464,  465,  771 
Rovsing,  ii.  7r2,  713,  715,  728;  iii.  151,  170 
Rugh,  iii.  483 
Russ,  i.  57 
Russell,  iii.  267 
Ruth,  i.  583;  ii.  4S9 
Ryall,  ii.  685 
Rydygier,  i.  647;  iii.  sdj 

Saxomoni,  ii.  429 

Sampson,  ii.  531 

Sangman,  ii.  417 

Sansum,  ii.  132 

Sauerbruch,  i.  267,  353;  ii.  451,  463,  464; 

iii-  537,  538 
Savariaud,  iii.  501 
Sayre,  i.  552,  555,  748 
Schafer,  i.  98;  iii.  717,  729,  730 
Schanz,  i.  225,  602 

Schede,  i.  452,  704.  716;  ii.  411,  461,  463 
Schiassi,  i.  58,  239 
Schichhold,  i.  628 
Schleich,  i.  119,  13s,  497 


Schmilinsky,  iii.  rr7 

Schoene,  ii.  430 

Schultz,  ii.  209 

Schwartze,  iii.  652 

Schwartzschild,  iii.  45 

Sclavo,  i.  272 

Scudder,  ii.  720 

Seabury  and  Robbins,  iii.  252 

SebUeau,  ii.   235 

Seff  and  Berkowitz,  iii.  442 

Seifier,  ii.  322 

Senn,  i.  507,  741;  ii.  673,  731.  732;  iii-  603 

Shaffer,  i.  652 

Sharpe,  ii.  99;  iii.  728 

Sharpe  and  Hammond,  i.  296 

Shaw,  iii.  809 

Shaw  and  Williams,  i.  203 

Sherman,  i.  705 

Sicard,  ii.  348 

Sick,  iii.  68 

Sims,  iii.  76,  397,  398,  4or 

Sinclair,  i.  55 

Sippy,  ii.  576 

Skillern,  i.  311 

Sluder,  ii.  214 

Smith,  i.  610;  ii.  168,  170,  171,  269 

Smith  (Stephen),  iii.  588,  589,  592 

Smith  and  Bigelow,  i.  641 

Smithies,  ii.  720 

Sobotta  and  McMurrich,  iii.  249 

Sonnenburg,  iii.  89 

Soresi,  i.  350,  352 

Soule,  iii.  480 

Souttar  and  Noel,  i.  164 

Spiller,  ii.  107,  109 

Spitzy,  i.  529,  531 

Spronk  and  Lassar,  i.  332 

Stebbing.  i.  357 

Steinmann,  i.  495 

Stelwagon,  i.  847 

Stewart,  ii.  552,  768 

Stewart  and  BaUance,  i.  857 

Stillians,  i.  844 

Stillman,  ii.  719 

Stimson,  i.  475,   545,  607,   619,  623,   629, 

643,  644 
Stoffel,  i.  852;  ii.  347 
Stone,  ii.  721 
Strassmann,  iii.  360 
Straus,  ii.  682,  7r9 
Strauss,  ii.  773,  775,  776,  777 
Strempel,  ii.  533 
Strickler,  i.  840 
Sturmdorf,  iii.  367,  368,  369 
Summers,  ii.  646 
Swift  and  Ellis,  i.  295 
Sydenstricker,  Mason  and  Rivers,  i.  355 
Sylvester,  i.  98;  iii.  718,  7r9,  729,  730 
Syme,  iii.  572,  578,  585... 
Szymanowski,  ii.  145;  iii.  262,  266,  649 

T.ADDEi,  iii.  812 

Tagliacozzi,  iii.  652 

Tait,  iii.  112 

Talma,  ii.  558 

Taylor,  i.  592,  675,  892,  895 

Teale,  ii.  150 


Teschner 


123 


Zuppinger 


Teschner,  ii.  353 

Tetcr,  i.  100,  122 

Tewksbury,  ii.  414 

Thiersch,  i.  74;  iii.  260 

Thomas,  i.  585,  589,  668,  669,  673, 675, 678, 

748,  749;. ii-  323,  335;  iii-  180,  277,  477 
Thompson,  iii.  291,  293,  721 
Thorner,  ii.  237 
Torek,  ii.  402,  418;  iii.  35,  37 
Torres,  i.  266 
Toth,  iii.  69 
Tousey,  iii.  704,  706 
Trendelenburg,   i.  449,   452,    457;    ii.  430, 

499;  iii.  45,  68,  So,  604 
Trombetta,  i.  880 
TutEer  and  Hallion,  i.  390 
Tunnicliffe,  i.  357 
Tiirck,  ii.  636,  63S,  639 
Turner  and  Rous,  iii.  815 
Tzaifon,  i.  224 


Ullmann,  ii.  658 

Unger,  i.  354 

Unna,  i.  310,  311;  iii.  495 


Van  Cott,  i.  256 

Vance,  i.  467 

Vanghetti,  iii.  527,  528,  529,  534 

Variot,  i,  849 

Velpeau,    i.  718,    721,    722;    iii.  754,    7S5 

Verhoeff,   ii.  127,    152 

Verning,    ii.  391 

Vidal,  ii.  561 

Vincent,  i.  354;  iii.  817 

Voegtlin  and  Bernheim,  i.  458 

Vogel,  ii.  522 

Volcker,  iii.  146 

Volkmann,  i.  491,  604,  605,  714 

von  Bergmann,  ii.  108,  439 

von  Bramann,  ii.  96 

von  Frisch,  i.  390 

von  Hacker,  ii.  436 

von  Langenbeck,  i.  711,  719,  721,  722,  72^, 

724,  741,  748 
vonLeube,  ii.  721 
von  Mikulicz,  ii.  243 
von  Mosetiz-Moorhof,  i.  705 
von  Mutschenbacher,  ii.  370 
Vosburg,  iii.  640 


WAr.BAUM,  iii.  37g 

Walker,  ii.  660 

Wallace,  iii.  360,  366,  437 

Wallstein,  ii.  464 

Walton,  iii.  135 

Warbasse,  i.  469,  523,  526,  527    537    566, 

599,  60s,  695;  ii-  546 
Wardrop,  i    383 
Warfield,  i.  296 

Wassermann,  i.  283,  284,  294,  297,  299 
Watson,  i.  347;  ii.  390 
Weber,  i.  718 
Weidig  and  Meyer,  i.  119 
Weil,  i.  459 

Weir,  ii.  572,  573,  671,  693 
Weir  and  Bircher,  ii.  714 
Weir  and  Foote,  ii.  706,  710 
Weiss,  iii.  806 
Werner,  iii.  65 
Westbrook,  ii.  702 
White,  i.  748,  796;  iii.  345 
Whitehead,  iii.  72,  76 
Whitman,  i.  587;  iii    484 
Whitney,  iii.  316 
Wicks,  i.   204 
Wiener,  ii.  153 
Wieting,  i.  377.  455 
Wilder,  ii.  132 

Wilensky  and  Moschcowitz,  ii.  767 
Williams,  iii.  809 
W^illiams  and  Shaw,  i.  203 
Witzel,  ii.  697,  736,  758;  iii.  80.  135 
Woelfler,  i.  73;  iii.  37 
Wolf.  i.  617 
Wolff,  ii.  405 

WoUheim  and  Oulmann,  i.  297 
Woodyatt,  ii.  132 
Woolsey,  i.  122 
Wright,  i._  58,  241,  25S,  355 
Wyeth,  iii.  564,  602,  603 

Yates  and  Bunting,  i.  465 

Young,  iii    144,  232,  236.  237,  245,  394 

Zaaijee,  ii.  758 
Zanfel,   ii.  71 
Zechmeister,  i.   269 
Zesas,  ii.  429 
Ziegler,  ii.  156 
Ziehl,  i.  829 
Zuppinger,  i.  494 


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